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Post‐ERCP Pancreatitis And Hyperamylasaemia: The Role Of Operative And Patient Factors

R. Dickinson, S. Davies
Published 1998 · Medicine

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Background and aim Pancreatitis and hyperamylasaemia are common complications of ERCP and this study was designed to explain which operative and patient factors predispose to them. Patients and methods A 1 year prospective study of consecutive patients in a single operator centre with detailed attention to technical factors and the findings. Results Four hundred and thirty ERCPs were performed. Pancreatitis occurred in 12 cases (2.8%). Amylase results were available in 407 cases; 17 were excluded because of pre-operative hyperamylasaemia (n = 5) and because of pancreatitis (n = 12). Of the remaining 390, 30 (7.7%) had hyperamylasaemia. Pancreatitis and hyperamylasaemia usually occurred after difficult procedures in which pancreatography was achieved. Smaller common bile-ducts, pre-cut papillotomy and some preoperative indications also significantly increased the risk of pancreatitis, while prior papillotomy was protective. Pancreatitis occurred in patients with a younger median age (52.5 vs 68.0; P < 0.05) and was more common in women (F:M = 11:1 vs 241:177; P < 0.05). Conclusion Operative factors are, in part, responsible for the development of pancreatitis and hyperamylasaemia but the age and sex of the patient also appear to be important



This paper is referenced by
10.5348/IJCRI-2012-12-241-CR-15
Unusual case of pancreatic ascites and pancreatic pleural effusion following endoscopic retrograde cholangiopancreatography
Rafael Alba Yunen (2013)
10.1371/journal.pone.0177874
Identification of risk factors for post-endoscopic retrograde cholangiopancreatography pancreatitis in a high volume center
V. Phillip (2017)
10.1016/J.GIE.2011.09.002
Guidewire biliary cannulation does not reduce post-ERCP pancreatitis compared with the contrast injection technique in low-risk and high-risk patients
M. Bassan (2012)
10.1016/j.gie.2014.06.005
Risk factors for post-ERCP pancreatitis in wire-guided cannulation for therapeutic biliary ERCP.
Y. Nakai (2015)
10.1111/j.1572-0241.2004.30151.x
Endoscopic Balloon Dilation of the Biliary Sphincter Compared to Endoscopic Biliary Sphincterotomy for Removal of Common Bile Duct Stones During ERCP: A Metaanalysis of Randomized, Controlled Trials
T. Baron (2004)
Post-ERCP pancreatitis: patient and technique-related risk factors.
M. Freeman (2002)
10.1007/s00534-007-1262-1
Sleeve sphincter of Oddi (SO) manometry: a new method for characterizing the motility of the sphincter of Oddi.
M. Kawamoto (2008)
10.1016/j.ijsu.2009.05.005
Single-step treatment of gall bladder and bile duct stones: a combined endoscopic-laparoscopic technique.
Abdel Hamid Ghazal (2009)
10.1155/2010/894045
Bilateral Pneumothorax and Subcutaneous Emphysema following Endoscopic Retrograde Cholangiopancreatography: A Rare Complication
F. Sampaziotis (2010)
10.1097/00006676-200111000-00003
Evaluation of Selected Parameters of the Inflammatory Response to Endoscopic Retrograde Cholangiopancreatography
Bożena Woźniak (2001)
10.1111/imj.12844
Protective effect of advanced age on post‐ERCP pancreatitis and unplanned hospitalisation
N. Maitin-Casalis (2015)
10.1111/j.1572-0241.2007.01544.x
A Randomized, Comparative Trial of a Potassium-Competitive Acid Blocker (AZD0865) and Esomeprazole for the Treatment of Patients With Nonerosive Reflux Disease
J. Dent (2008)
10.1186/1752-1947-2-215
Pancreatitis with an unusual fatal complication following endoscopic retrograde cholangiopancreaticography: a case report
B. Kanen (2008)
10.1007/978-88-470-0763-5_28
Common Bile Duct Stones in Cholecystectomized Patients
C. Sciumé (2008)
10.1586/17474124.2016.1143774
Selective biliary cannulation techniques for endoscopic retrograde cholangiopancreatography procedures and prevention of post- endoscopic retrograde cholangiopancreatography pancreatitis
Shuntaro Mukai (2016)
Shinju ArataTadahiro TakadaKoichi HirataMasahiro YoshidaToshihiko MayumiMorihisa Hirota • Masamichi YokoeMasahiko HirotaSeiki KiriyamaMiho SekimotoHodaka AmanoKeita Wada • Yasutoshi KimuraToshifumi GabataKazunori TakedaKeisho KataokaTetsuhide ItoMasao Tanaka
Tadahiro Takada (2010)
10.1111/j.1572-0241.2006.00959.x
Effect of Octreotide Administration in the Prophylaxis of Post-ERCP Pancreatitis and Hyperamylasemia: A Multicenter, Placebo-Controlled, Randomized Clinical Trial
Z. Li (2007)
10.1067/MGE.2001.117550
Risk factors for post-ERCP pancreatitis: a prospective, multicenter study.
M. Freeman (2001)
10.1016/j.dld.2011.05.010
Precut sphincterotomy, repeated cannulation and post-ERCP pancreatitis in patients with bile duct stone disease.
Pier Alberto Testoni (2011)
10.1016/S0016-5107(02)70178-8
Nifedipine for prevention of post-ERCP pancreatitis: a prospective, double-blind randomized study.
F. Prat (2002)
10.1046/J.1443-9573.2002.00069.X
Risk factors for postoperative pancreatitis associated with diagnostic and therapeutic endoscopic retrograde cholangiopancreatography
L. Ye (2002)
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J. A. Søreide (1996)
10.4172/2165-7092.1000185
Preoperative Biliary Drainage of Jaundiced Patients with Pancreatic Head Cancer: A Routine or Selective Strategy
F. Tshijanu (2017)
10.1016/S0016-5107(02)70025-4
Adverse outcomes of ERCP.
M. Freeman (2002)
10.4030/JJCS1979.31.6_979
A Case Report of Pancreas Abscess in a Post-ERCP Pancreatitis Patient who Underwent Cholangiocarcinoma Surgery
M. Kimura (2006)
10.1038/ajg.2008.5
Risk Factors for ERCP-Related Complications: A Prospective Multicenter Study
P. Wang (2009)
Peut-on prévoir et prévenir la pancréatite aiguë post-CPRE ?
L. Heyries (2001)
10.1055/a-1068-9153
Telepresence-teleguidance to facilitate training and quality assurance in ERCP: a health economic modeling approach
Johanna Brinne Roos (2020)
Risk factors for endoscopic retrograde cholangiopancreatography (ERCP) associated with pancreatitis and hyperamylasemia
M. G. Zuleta (2012)
10.21203/rs.2.16697/v4
Dilation of the Cystic Duct Confluence in Laparoscopic Common Bile Duct Exploration and stone extraction for Patients with Secondary Choledocholithiasis
Xiao-Bin Yang (2020)
10.1177/2050640617694279
Brushing the distal biliary stricture in the surrounding of the papilla increased the risk of post-endoscopic retrograde cholangiopancreatography pancreatitis: A retrospective study using propensity score analysis
K. Kato (2017)
10.1067/MGE.2002.118964
Mechanism of pancreatitis caused by ERCP.
R. Akashi (2002)
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