• Corpus ID: 41431706

Endoscopic Retrograde Cholangiopancreatography-Analysis of 543 Procedures at the Kreiskrankenhaus Schongau [ Schongau Hospital ] 2006-2011 and Comparison with Literature

  title={Endoscopic Retrograde Cholangiopancreatography-Analysis of 543 Procedures at the Kreiskrankenhaus Schongau [ Schongau Hospital ] 2006-2011 and Comparison with Literature},
  author={Kerstin Schierghofer and Andreas Eder and Ursula Gresser},
Background: Despite progress in non-invasive imaging methods of the bile and pancreatic duct, ERCP and endoscopic sphincterotomy are live methods and continue to provide the means for therapeutic intervention and cytological diagnostics. Because of the invasive and high-risk character of these methods, health professionals worldwide are attempting to minimize complication rates. There is a growing opinion throughout the scientific community that invasive procedures such as ERCP and EPT should… 


Post-endoscopic retrograde cholangiopancreatography pancreatitis
Administration of rectal non-steroidal anti-inflammatory agents (NSAIDs) in high-risk patients is the proven pharmacological measure for prevention of post-ERCP pancreatitis.
Quality Indicators for Endoscopic Retrograde Cholangiopancreatography
The ASGE/American College of Gastroenterology task force has established the following indicators to aid in the recognition of ERCP examinations of high quality and permit the development of quality assurance programs and enable endoscopists who perform ERCp to share their personal quality measures with patients and other interested parties.
Endoscopic retrograde cholangiopancreatography associated pancreatitis: A 15-year review.
PEP is a well-recognized complication of ERCP and proper patient selection and pancreatic duct stenting have been shown to reduce the complication rate in randomized clinical trials.
Post-endoscopic retrograde cholangio-pancreatography pancreatitis: is time for a new preventive approach?
Results together with the demonstration that rectal administration of indomethacin is not associated with enhanced risk of bleeding strongly support the use of this drug in the prophylaxis of post-ERCP pancreatitis.
ERCP Outside the Referral Center
  • J. Petrini
  • Medicine
    The American Journal of Gastroenterology
  • 2005
In most community hospitals, ERCP for diagnosis and therapeutic work, including sphincterotomy, stone extraction, and stent placement is appropriate if practitioners have been initially trained, continue to have adequate numbers of procedures and have competent local surgery and radiology backup.
Pancreatic stents for prevention of post-ERCP pancreatitis: the evidence is irrefutable
The current evidence supports their use in all patients at high risk of this complication, for which criteria have been fairly well established, and Professor Mazaki et al. are to be congratulated for performing the highest quality and most thorough meta-analysis to date of pancreatic stents for the prevention of post-ERCP pancreatitis.
Predictors of complications after endoscopic retrograde cholangiopancreatography: a prognostic model for early discharge
The prognostic model based on the eight most important risk factors for post-ERCP pancreatitis and cholangitis is able to identify patients who can be safely discharged the same day after ERCP.