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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Format: | Article |
Language: | English |
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Army Medical College Rawalpindi
2018-10-01
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Series: | Pakistan Armed Forces Medical Journal |
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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. |
first_indexed | 2024-12-19T19:21:07Z |
format | Article |
id | doaj.art-cc261eefefcf4c2bb256b8aa4f233db6 |
institution | Directory Open Access Journal |
issn | 0030-9648 2411-8842 |
language | English |
last_indexed | 2024-12-19T19:21:07Z |
publishDate | 2018-10-01 |
publisher | Army Medical College Rawalpindi |
record_format | Article |
series | Pakistan Armed Forces Medical Journal |
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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