Pancreatitis after endoscopic retrograde cholangiopancreatography: A narrative review
Igor Braga Ribeiro, Epifânio Silvino do Monte, Antônio Afonso Miranda Neto, Ígor Mendonça Proença, Diogo Turiani Hourneaux de Moura, Maurício Minata, Edson Ide, Marcos Eduardo Lera dos Santos, Gustavo de Oliveira Luz, Sérgio Matuguma, Spencer Cheng, Renato Baracat, Eduardo Guimarães Hourneaux de Moura
Abstract
Acute post-endoscopic retrograde cholangiopancreatography pancreatitis (PEP) is a feared and potentially fatal complication that can be as high as up to 30% in high-risk patients. Pre-examination measures, during the examination and after the examination are the key to technical and clinical success with a decrease in adverse events. Several studies have debated on the subject, however, numerous topics remain controversial, such as the effectiveness of prophylactic medications and the amylase dosage time. This review was designed to provide an update on the current scientific evidence regarding PEP available in the literature.