ASGE Postgraduate Course at ACG: Innovative Practices for the Endoscopist of Today, Tomorrow and Beyond | October 2023-Post ERCP Pancreatitis Prevention Strategies

Video Transcription

Video Summary

Dr. Joseph Elmanzar from the Medical University of South Carolina discusses the prevention of post-ERCP pancreatitis. He highlights five elements of care that should be accounted for in every case: appropriate patient selection, risk stratification, efficient procedural technique, prophylactic pancreatic stent placement, and pharmacoprevention (rectal NSAIDs and IV fluid resuscitation). Dr. Elmanzar emphasizes the importance of thoughtful patient selection and risk stratification, as well as the use of atraumatic and efficient procedural techniques. He also discusses the benefits and potential disadvantages of prophylactic pancreatic stent placement. Additionally, he mentions the use of rectal NSAIDs in preventing post-ERCP pancreatitis and the increasing cost associated with this treatment. Dr. Elmanzar concludes by discussing IV fluid hydration as a prevention strategy and the need for further research to determine the optimal infusion strategy.

Asset Subtitle

B. Joseph Elmunzer, MD

Keywords

post-ERCP pancreatitis

patient selection

risk stratification

procedural technique

pancreatic stent placement