Pancreatitis after endoscopic retrograde cholangiopancreatography: A narrative review

Igor Braga Ribeiro, Epifanio Silvino do Monte Junior, Antonio Afonso Miranda Neto, Igor Mendonça Proença, Diogo Turiani Hourneaux de Moura, Mauricio Kazuyoshi Minata, Edson Ide, Marcos Eduardo Lera Dos Santos, Gustavo de Oliveira Luz, Sergio Eiji Matuguma, Spencer Cheng, Renato Baracat, Eduardo Guimarães Hourneaux de Moura
World Journal of Gastroenterology: WJG 2021 May 28, 27 (20): 2495-2506
Acute post-endoscopic retrograde cholangiopancreatography pancreatitis (PEP) is a feared and potentially fatal complication that can be as high as up to 30% in high-risk patients. Pre-examination measures, during the examination and after the examination are the key to technical and clinical success with a decrease in adverse events. Several studies have debated on the subject, however, numerous topics remain controversial, such as the effectiveness of prophylactic medications and the amylase dosage time. This review was designed to provide an update on the current scientific evidence regarding PEP available in the literature.

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