NDLI: Acute pancreatitis after removal of retained prophylactic pancreatic stents.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Moffatt, Dana C. Coté, Gregory A. Fogel, Evan L. Watkins, James L. McHenry, Lee Lehman, Glen A. Sherman, Stuart
Spatial Coverage	Indiana
Description	Country affiliation: Canada Author Affiliation: Moffatt DC ( Division of Gastroenterology, Indiana University, Indianapolis, Indiana, USA)
Abstract	BACKGROUND: Prophylactic pancreatic stents (PPSs) are used to decrease the risk of post-ERCP pancreatitis (PEP) in high-risk patients. The risk associated with PPS removal is unknown. OBJECTIVE: To describe the rate of PEP in patients undergoing PPS removal without pancreatogram or other manipulation of the major or minor papilla. DESIGN: Retrospective, cohort study. SETTING: Tertiary care academic center. PATIENTS: This study involved 230 patients undergoing removal of PPSs from 1997 to 2010. INTERVENTION: PPS removal. MAIN OUTCOME MEASUREMENTS: Rate of acute pancreatitis associated with removal of PPS alone. RESULTS: Acute pancreatitis occurred after PPS removal in 7 of 230 (3.0%) cases. PEP was graded as mild, moderate, and severe in 2, 5, and 0 cases, respectively. Statistically significant risk factors of PEP after PPS removal include use of a 5F stent (P=.001), use of a stent with an internal flange (P<.01), and occurrence of PEP after the initial ERCP (P<.01). Longer duration of stent within the pancreatic duct before removal was of borderline significance (P=.06). Patient age; sex; indication for initial procedure; the presence of pancreas divisum, ansa loop, or chronic pancreatitis; and history of pancreatic or biliary sphincterotomy or orifice dilation were not significant risk factors for pancreatitis after PPS removal. LIMITATIONS: Retrospective analysis of prospectively collected data. Small number of events. CONCLUSION: Removal of retained PPSs may cause mild or moderate acute pancreatitis. This risk of acute pancreatitis may diminish the overall efficacy of PPS use by delaying the occurrence of PEP rather than eliminating it. This implies that PPSs should be used only in patients at high risk for PEP.
File Format	HTM / HTML
ISSN	00165107
Issue Number	5
Volume Number	73
e-ISSN	10976779
Journal	Gastrointestinal Endoscopy
Language	English
Publisher	Elsevier
Publisher Date	2011-05-01
Publisher Place	United States
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Gastroenterology Device Removal Adverse Effects Pancreatic Ducts Surgery Pancreatitis, Acute Necrotizing Etiology Pancreatitis, Chronic Stents Female Humans Incidence Indiana Epidemiology Middle Aged Postoperative Complications Risk Factors Comparative Study Journal Article
Content Type	Text
Resource Type	Article
Subject	Radiology, Nuclear Medicine and Imaging Gastroenterology

Sl.	Authority	Responsibilities	Communication Details
1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
2	Indian Institute of Technology Kharagpur	Host Institute of the Project: The host institute of the project is responsible for providing infrastructure support and hosting the project	https://www.iitkgp.ac.in
3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
5	Website/Portal (Helpdesk)	Queries regarding NDLI and its services	support@ndl.gov.in
6	Contents and Copyright Issues	Queries related to content curation and copyright issues	content@ndl.gov.in
7	National Digital Library of India Club (NDLI Club)	Queries related to NDLI Club formation, support, user awareness program, seminar/symposium, collaboration, social media, promotion, and outreach	clubsupport@ndl.gov.in
8	Digital Preservation Centre (DPC)	Assistance with digitizing and archiving copyright-free printed books	dpc@ndl.gov.in
9	IDR Setup or Support	Queries related to establishment and support of Institutional Digital Repository (IDR) and IDR workshops	idr@ndl.gov.in

Does removal of prophylactic pancreatic stents induce acute pancreatitis?

Cleaning of occluded pancreatic duct endoprostheses: a new indication for extracorporeal shock wave lithotripsy?

Pancreatic cancer causing acute pancreatitis: a comparative study with cancer patients without pancreatitis and pancreatitis patients without cancer.

A comparison of direct endoscopic necrosectomy with transmural endoscopic drainage for the treatment of walled-off pancreatic necrosis.

Endoscopic retrieval of a proximally migrated pancreatic stent.

External stenting of pancreaticojejunostomy anastomosis and pancreatic duct after pancreaticoduodenectomy.

Late onset pancreatitis 6 months after endoscopic transpapillary gallbladder stenting for acute cholecystitis.

Does leaving a main pancreatic duct stent in place reduce the incidence of precut biliary sphincterotomy-associated pancreatitis? A randomized, prospective study.

Chylothorax as a rare complication after severe necrotizing pancreatitis and endoscopic pancreatic necrosectomy.

Acute pancreatitis after removal of retained prophylactic pancreatic stents.

Similar Documents

Does removal of prophylactic pancreatic stents induce acute pancreatitis?

Cleaning of occluded pancreatic duct endoprostheses: a new indication for extracorporeal shock wave lithotripsy?

Pancreatic cancer causing acute pancreatitis: a comparative study with cancer patients without pancreatitis and pancreatitis patients without cancer.

A comparison of direct endoscopic necrosectomy with transmural endoscopic drainage for the treatment of walled-off pancreatic necrosis.

Endoscopic retrieval of a proximally migrated pancreatic stent.

External stenting of pancreaticojejunostomy anastomosis and pancreatic duct after pancreaticoduodenectomy.

Late onset pancreatitis 6 months after endoscopic transpapillary gallbladder stenting for acute cholecystitis.

Does leaving a main pancreatic duct stent in place reduce the incidence of precut biliary sphincterotomy-associated pancreatitis? A randomized, prospective study.

Chylothorax as a rare complication after severe necrotizing pancreatitis and endoscopic pancreatic necrosectomy.

Acute pancreatitis after removal of retained prophylactic pancreatic stents.