ASGE Annual Postgraduate Course: Leveraging New Advances to Improve Patient Outcomes (On-demand) | May 2024-Video Tip: ERCP Pancreatitis Complications: How to Avoid & Manage

Video Tip: ERCP Pancreatitis Complications: How to Avoid & Manage

Video Transcription

Video Summary

This transcript discusses the serious complication of post-ERCP pancreatitis and various risk factors involved, including physician, patient, and procedural factors. Prevention strategies such as wire-guided cannulation, avoiding PD cannulation, prophylactic stenting, and aggressive hydration are highlighted. Studies on wire-guided cannulation and pancreatic duct stents are discussed to support these strategies. The AHG guideline led by Buxbaum is recommended, emphasizing the use of rectal insets, wire-guided cannulation, and pancreatic duct stents to reduce the risk of pancreatitis post-ERCP. Aggressive hydration is also suggested for high-risk patients.

Keywords

post-ERCP pancreatitis

risk factors

wire-guided cannulation

prophylactic stenting

aggressive hydration