ROLE OF PANCREATIC STENT PLACEMENT IN PREVENTION OF POST ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY PANCREATITIS: EXPERIENCE AT A TERTIARY CARE HOSPITAL IN PAKISTAN

Objective: To determine the frequency of Post Endoscopic Retrograde Cholangiopancreatography Pancreatitis (PEP) in patients who underwent prophylactic pancreatic duct stenting. Study Design: Descriptive case series. Place and Duration of Study: This descriptive case series was conducted at the de...

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Main Authors: Mehdi Naqvi, Muhammad Sohail Khalid, Ehtesham Haider, Farrukh Saeed, Khawar Shabbir, Murtaza Ali, Laima Alam
Format: Article
Language:English
Published: Army Medical College Rawalpindi 2018-10-01
Series:Pakistan Armed Forces Medical Journal
Subjects:
Online Access:https://www.pafmj.org/index.php/PAFMJ/article/view/2297/1992
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author Mehdi Naqvi
Muhammad Sohail Khalid
Ehtesham Haider
Farrukh Saeed
Khawar Shabbir
Murtaza Ali
Laima Alam
author_facet Mehdi Naqvi
Muhammad Sohail Khalid
Ehtesham Haider
Farrukh Saeed
Khawar Shabbir
Murtaza Ali
Laima Alam
author_sort Mehdi Naqvi
collection DOAJ
description Objective: To determine the frequency of Post Endoscopic Retrograde Cholangiopancreatography Pancreatitis (PEP) in patients who underwent prophylactic pancreatic duct stenting. Study Design: Descriptive case series. Place and Duration of Study: This descriptive case series was conducted at the department of Gastroenterology, Pak Emirates Military Hospital Rawalpindi, from Jul 2017 to Feb 2018. Material and Methods: One hundred and twenty consecutive patients were enrolled after they met inclusion and exclusion criteria. Endoscopic Retrograde Cholangiopancreatography Pancreatitis (ERCP) was performed by Olympus duodeno scope (TJF Q180V) by an endoscopist having at least 3 years experience of performing independent ERCPs. An additional 4, 6, or 7cm long 5FrGeenen® pancreatic plastic stent (Cook Medical) was placed in all cases where pancreatic duct was accidentally cannulated. Primary outcome variable was post ERCP pancreatitis. Data was recorded on a pre-designed proforma and analyzed by SPSS version 21.0. Results: Out of total 120 cases, PEP was found in 4 (3.3%) patients. All the 4 patients had mild pancreatitis. Conclusion: PEP is not an uncommon complication following ERCP. The rate of PEP appears to be lower with prophylactic pancreatic duct stenting.
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spelling doaj.art-cc261eefefcf4c2bb256b8aa4f233db62022-12-21T20:08:59ZengArmy Medical College RawalpindiPakistan Armed Forces Medical Journal0030-96482411-88422018-10-0168512251229ROLE OF PANCREATIC STENT PLACEMENT IN PREVENTION OF POST ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY PANCREATITIS: EXPERIENCE AT A TERTIARY CARE HOSPITAL IN PAKISTANMehdi Naqvi0Muhammad Sohail Khalid1Ehtesham Haider2Farrukh Saeed3Khawar Shabbir4Murtaza Ali5Laima Alam6Pak Emirates Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi PakistanPak Emirates Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi PakistanPak Emirates Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi PakistanPak Emirates Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi PakistanPak Emirates Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi PakistanPak Emirates Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi PakistanPak Emirates Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi PakistanObjective: To determine the frequency of Post Endoscopic Retrograde Cholangiopancreatography Pancreatitis (PEP) in patients who underwent prophylactic pancreatic duct stenting. Study Design: Descriptive case series. Place and Duration of Study: This descriptive case series was conducted at the department of Gastroenterology, Pak Emirates Military Hospital Rawalpindi, from Jul 2017 to Feb 2018. Material and Methods: One hundred and twenty consecutive patients were enrolled after they met inclusion and exclusion criteria. Endoscopic Retrograde Cholangiopancreatography Pancreatitis (ERCP) was performed by Olympus duodeno scope (TJF Q180V) by an endoscopist having at least 3 years experience of performing independent ERCPs. An additional 4, 6, or 7cm long 5FrGeenen® pancreatic plastic stent (Cook Medical) was placed in all cases where pancreatic duct was accidentally cannulated. Primary outcome variable was post ERCP pancreatitis. Data was recorded on a pre-designed proforma and analyzed by SPSS version 21.0. Results: Out of total 120 cases, PEP was found in 4 (3.3%) patients. All the 4 patients had mild pancreatitis. Conclusion: PEP is not an uncommon complication following ERCP. The rate of PEP appears to be lower with prophylactic pancreatic duct stenting.https://www.pafmj.org/index.php/PAFMJ/article/view/2297/1992endoscopic retrograde cholangiopancreatography (ercp)pancreatic duct
spellingShingle Mehdi Naqvi
Muhammad Sohail Khalid
Ehtesham Haider
Farrukh Saeed
Khawar Shabbir
Murtaza Ali
Laima Alam
ROLE OF PANCREATIC STENT PLACEMENT IN PREVENTION OF POST ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY PANCREATITIS: EXPERIENCE AT A TERTIARY CARE HOSPITAL IN PAKISTAN
Pakistan Armed Forces Medical Journal
endoscopic retrograde cholangiopancreatography (ercp)
pancreatic duct
title ROLE OF PANCREATIC STENT PLACEMENT IN PREVENTION OF POST ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY PANCREATITIS: EXPERIENCE AT A TERTIARY CARE HOSPITAL IN PAKISTAN
title_full ROLE OF PANCREATIC STENT PLACEMENT IN PREVENTION OF POST ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY PANCREATITIS: EXPERIENCE AT A TERTIARY CARE HOSPITAL IN PAKISTAN
title_fullStr ROLE OF PANCREATIC STENT PLACEMENT IN PREVENTION OF POST ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY PANCREATITIS: EXPERIENCE AT A TERTIARY CARE HOSPITAL IN PAKISTAN
title_full_unstemmed ROLE OF PANCREATIC STENT PLACEMENT IN PREVENTION OF POST ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY PANCREATITIS: EXPERIENCE AT A TERTIARY CARE HOSPITAL IN PAKISTAN
title_short ROLE OF PANCREATIC STENT PLACEMENT IN PREVENTION OF POST ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY PANCREATITIS: EXPERIENCE AT A TERTIARY CARE HOSPITAL IN PAKISTAN
title_sort role of pancreatic stent placement in prevention of post endoscopic retrograde cholangiopancreatography pancreatitis experience at a tertiary care hospital in pakistan
topic endoscopic retrograde cholangiopancreatography (ercp)
pancreatic duct
url https://www.pafmj.org/index.php/PAFMJ/article/view/2297/1992
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