Optimal endoscopic techniques to reduce the risk of post-endoscopic retrograde cholangiopancreatography pancreatitis

Post-endoscopic retrograde cholangiopancreatography pancreatitis (PEP) is the most common and feared complication of endoscopic retrograde cholangiopancreatography. Patient selection is an important variable that is important when determining the risk of PEP. The factors that may increase the risk of PEP include papillary trauma, papillary edema, and pancreatic ductal injury (mechanical or hydrostatic). Proven methods to decrease the risk of PEP include wire-guided cannulation, prophylactic short-term pancreatic duct (PD) stenting, and avoiding frequent PD cannulation, injection, or overinjection.
Source: Techniques in Gastrointestinal Endoscopy - Category: Gastroenterology Authors: Source Type: research