Acute pancreatitis after endoscopic retrograde cholangiopancreatography - modern concepts of prevention and treatment from the perspective of the gastroenterologist and surgeon
DOI:
https://doi.org/10.5281/zenodo.15267598Keywords:
endoscopic retrograde cholangiopancreatography, pancreatitis, procedure, complication, prevention, treatmentAbstract
Endoscopic retrograde cholangiopancreatography (ERCP) is an endoscopic procedure used to diagnose and treat diseases affecting the bile ducts and pancreas. The procedure was performed for the first time in 1968 by surgeons Williams McCune, Paul Shorb and gastroenterologist Herbert Moscovitz. With the accumulation of more practical experience and the improvement of endoscopic equipment, the wide therapeutic possibilities of the intervention have been gradually revealed. ERCP's role is changing and has evolved from purely diagnostic to therapeutic, becoming the primary tool for the non-surgical, invasive treatment of various diseases.
The spread of the method and the increase in indications for its application led to increased postinterventional complications. One of the most severe and life-threatening complications after ERCP is acute pancreatitis (AP).
In 2014, the European Society of Gastrointestinal Endoscopy (ESGE), and a little later in 2017, the American Society of Gastrointestinal Endoscopy (ASGE) created recommendations for the prevention of the development of acute pancreatitis to reduce morbidity and mortality and to shortening the hospital stay. However, the frequency of post-ERCP pancreatitis is still extremely high, and the treatment requires a multidisciplinary approach, including conservative and surgical treatment.
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