Post-endoscopic retrograde cholangiopancreatography pancreatitis: Risk stratification and appropriate patient selection

Robert A. Moran, Venkata S. Akshintala, Vikesh Singh

Research output: Contribution to journalArticle

Abstract

Postendoscopic retrograde cholangiopancreatography pancreatitis (PEP) is the most common endoscopic retrograde cholangiopancreatography-related complication with its prevalence estimated at approximately 10%. Many patient- and procedural-related risk factors for PEP have been identified. These risk factors have been weighted in many studies, allowing identification of the most important risk factors for PEP. Unfortunately, there are no comprehensive and validated scoring systems developed to predict the risk for PEP in an individual patient based on the prevalence of multiple risk factors. Currently, we rely on a few variables to identify high-risk patients. This review discusses the individual risks for PEP and the current methods to identify high-risk patients.

Original languageEnglish (US)
Pages (from-to)156-161
Number of pages6
JournalTechniques in Gastrointestinal Endoscopy
Volume16
Issue number4
DOIs
StatePublished - Oct 1 2014

Fingerprint

Endoscopic Retrograde Cholangiopancreatography
Pancreatitis
Patient Selection
Peptamen

Keywords

  • Complication
  • Difficult cannulation
  • Risk factor
  • Sphincter of Oddi dysfunction

ASJC Scopus subject areas

  • Gastroenterology
  • Radiology Nuclear Medicine and imaging

Cite this

Post-endoscopic retrograde cholangiopancreatography pancreatitis : Risk stratification and appropriate patient selection. / Moran, Robert A.; Akshintala, Venkata S.; Singh, Vikesh.

In: Techniques in Gastrointestinal Endoscopy, Vol. 16, No. 4, 01.10.2014, p. 156-161.

Research output: Contribution to journalArticle

@article{e94c9be2893840f2a37fbe2149ff42c6,
title = "Post-endoscopic retrograde cholangiopancreatography pancreatitis: Risk stratification and appropriate patient selection",
abstract = "Postendoscopic retrograde cholangiopancreatography pancreatitis (PEP) is the most common endoscopic retrograde cholangiopancreatography-related complication with its prevalence estimated at approximately 10{\%}. Many patient- and procedural-related risk factors for PEP have been identified. These risk factors have been weighted in many studies, allowing identification of the most important risk factors for PEP. Unfortunately, there are no comprehensive and validated scoring systems developed to predict the risk for PEP in an individual patient based on the prevalence of multiple risk factors. Currently, we rely on a few variables to identify high-risk patients. This review discusses the individual risks for PEP and the current methods to identify high-risk patients.",
keywords = "Complication, Difficult cannulation, Risk factor, Sphincter of Oddi dysfunction",
author = "Moran, {Robert A.} and Akshintala, {Venkata S.} and Vikesh Singh",
year = "2014",
month = "10",
day = "1",
doi = "10.1016/j.tgie.2014.10.001",
language = "English (US)",
volume = "16",
pages = "156--161",
journal = "Techniques in Gastrointestinal Endoscopy",
issn = "1096-2883",
publisher = "W.B. Saunders Ltd",
number = "4",

}

TY - JOUR

T1 - Post-endoscopic retrograde cholangiopancreatography pancreatitis

T2 - Risk stratification and appropriate patient selection

AU - Moran, Robert A.

AU - Akshintala, Venkata S.

AU - Singh, Vikesh

PY - 2014/10/1

Y1 - 2014/10/1

N2 - Postendoscopic retrograde cholangiopancreatography pancreatitis (PEP) is the most common endoscopic retrograde cholangiopancreatography-related complication with its prevalence estimated at approximately 10%. Many patient- and procedural-related risk factors for PEP have been identified. These risk factors have been weighted in many studies, allowing identification of the most important risk factors for PEP. Unfortunately, there are no comprehensive and validated scoring systems developed to predict the risk for PEP in an individual patient based on the prevalence of multiple risk factors. Currently, we rely on a few variables to identify high-risk patients. This review discusses the individual risks for PEP and the current methods to identify high-risk patients.

AB - Postendoscopic retrograde cholangiopancreatography pancreatitis (PEP) is the most common endoscopic retrograde cholangiopancreatography-related complication with its prevalence estimated at approximately 10%. Many patient- and procedural-related risk factors for PEP have been identified. These risk factors have been weighted in many studies, allowing identification of the most important risk factors for PEP. Unfortunately, there are no comprehensive and validated scoring systems developed to predict the risk for PEP in an individual patient based on the prevalence of multiple risk factors. Currently, we rely on a few variables to identify high-risk patients. This review discusses the individual risks for PEP and the current methods to identify high-risk patients.

KW - Complication

KW - Difficult cannulation

KW - Risk factor

KW - Sphincter of Oddi dysfunction

UR - http://www.scopus.com/inward/record.url?scp=84914094323&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84914094323&partnerID=8YFLogxK

U2 - 10.1016/j.tgie.2014.10.001

DO - 10.1016/j.tgie.2014.10.001

M3 - Article

AN - SCOPUS:84914094323

VL - 16

SP - 156

EP - 161

JO - Techniques in Gastrointestinal Endoscopy

JF - Techniques in Gastrointestinal Endoscopy

SN - 1096-2883

IS - 4

ER -