Korean J Gastroenterol.  2017 Nov;70(5):247-252. 10.4166/kjg.2017.70.5.247.

Feasibility of Temporary Pancreatic Stenting after Early Endoscopic Retrograde Cholangiopancreatography in Patients with Acute Biliary Pancreatitis

• Lee JK
• Jang DK
• Kang HW
• Lee SH

• KMID: 2398871
• DOI: http://doi.org/10.4166/kjg.2017.70.5.247

Abstract

BACKGROUND/AIMS
To assess the safety and effectiveness of temporary pancreatic stenting after early endoscopic retrograde cholangiopancreatography (ERCP) in patients with acute biliary pancreatitis regardless of the severity or concomitant cholangitis.
METHODS
Temporary pancreatic stenting was performed in 79 patients with visualized pancreatic duct during ERCP. The outcomes of 64 patients with adequate pancreatic stenting (PS) and 15 patients with inadequate pancreatic stenting (no PS) were compared in this prospective, observational trial.
RESULTS
The baseline characteristics were similar. Development of systemic inflammatory response syndrome (7.8% for PS vs. 13.3% for no PS; p=0.50) and mortality (none for both groups; p=0.99) did not differ. However, fewer local complications occurred in PS than in no PS (4.7% for PS vs. 20.0% for no PS; p=0.04) and the difference was most outstanding in necrosis (1.6% for PS vs. 13.3% for no PS; p=0.03).
CONCLUSIONS
Temporary pancreatic stenting after early ERCP should be considered safe, as complications did not increase even in cases of inadequate stenting. However, if successful, there appears to be a reduction in local complications.

Keyword

Acute biliary pancreatitis; Endoscopic retrograde cholangiopancreatography; Pancreatic stenting

MeSH Terms

Cholangiopancreatography, Endoscopic Retrograde*
Cholangitis
Humans
Mortality
Necrosis
Pancreatic Ducts
Pancreatitis*
Prospective Studies
Stents*
Systemic Inflammatory Response Syndrome