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KMID : 0614620220790050195
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Korean Journal of Gastroenterology
2022 Volume.79 No. 5 p.195 ~ p.198
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The Latest Knowledge on Endoscopic Retrograde Cholangiopancreatography-related Pancreatitis
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Park Chang-Hwan
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Abstract
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ERCP has been established as a golden diagnostic and therapeutic modality in various pancreatobiliary diseases, including gallstones and malignancy. On the other hand, ERCP is a relatively invasive procedure with radiation hazards and major complications. Among the major complications, ERCP-related pancreatitis has been reported in more than 14.7% of high-risk patients, which might lead to extended hospitalization and a substantial burden for both patients and physicians. Recent guidelines have defined the high-risk factors for ERCP-related pancreatitis. In addition, several outstanding studies have shown that rectal non-steroidal anti-inflammatory drugs, aggressive hydration with lactated Ringer’s solution, and pancreatic stents can reduce ERCP-related pancreatitis in high-risk patients or all patients. A prevention algorithm for ERCP-related pancreatitis was provided based on advanced research.
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KEYWORD
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Cholangiopancreatography, endoscopic retrograde, Pancreatitis, Anti-inflammatory agents, non-steroidal, Ringer's lactate, Pancreatic stents
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