The safety and efficacy of pancreatic duct stent placement in the emergency ERCP of acute biliary pancreatitis

Pancreatology ◽  
2016 ◽  
Vol 16 (4) ◽  
pp. S49
Author(s):  
Hiroyuki Hisai ◽  
Tamaki Sakurai ◽  
Ryoya Seki ◽  
Yutaka Koshiba ◽  
Yusuke Kanari ◽  
...  
Keyword(s):  
Pancreatic Duct ◽  
Stent Placement ◽  
Biliary Pancreatitis ◽  
Acute Biliary Pancreatitis ◽  
Safety And Efficacy ◽  
Pancreatic Duct Stent

Sa1490 The Safety and Efficacy of Pancreatic Duct Stent Placement in the Emergency ERCP of Acute Biliary Pancreatitis

2016 ◽  
Vol 83 (5) ◽  
pp. AB271-AB272
Author(s):  
Hiroyuki Hisai ◽  
Tamaki Sakurai ◽  
Ryoya Seki ◽  
Yutaka Koshiba ◽  
Yusuke Kanari ◽  
...  
Keyword(s):  
Pancreatic Duct ◽  
Stent Placement ◽  
Biliary Pancreatitis ◽  
Acute Biliary Pancreatitis ◽  
Safety And Efficacy ◽  
Pancreatic Duct Stent

4621 Alterations in pancreatic ductal morphology following small diameter, long length, unflanged pancreatic duct stent placement.

2000 ◽  
Vol 51 (4) ◽  
pp. AB185
Author(s):  
Evan L. Fogel ◽  
Stuart Sherman ◽  
Benedict M. Devereaux ◽  
Rungsun Rerknimitr ◽  
Susan D. Phillips ◽  
...  
Keyword(s):  
Pancreatic Duct ◽  
Stent Placement ◽  
Small Diameter ◽  
Pancreatic Duct Stent

Can Prophylactic Pancreatic Duct Stent Placement Reduce the Prevalence of Post-ERCP Pancreatitis in Patients with Difficult Cannulation of the Bile Duct?

2007 ◽  
Vol 65 (5) ◽  
pp. AB239 ◽  
Author(s):  
Kei Ito ◽  
Naotaka Fujita ◽  
Yutaka Noda ◽  
Go Kobayashi ◽  
Jun Horaguchi ◽  
...  
Keyword(s):  
Bile Duct ◽  
Pancreatic Duct ◽  
Stent Placement ◽  
Pancreatic Duct Stent

scholarly journals Prophylactic Pancreatic Stents in High-Risk Population and Post-Endoscopic Retrograde Cholangiopancreatography Pancreatitis

2015 ◽  
Vol 4 (2) ◽  
pp. 67-71
Author(s):  
Hossein Ajdarkosh ◽  
Gholamreza Hemasi ◽  
Farhad Zamani ◽  
Masoudreza Sohrabi ◽  
Mohammad Mahdi Zamani ◽  
...  
Keyword(s):  
High Risk ◽  
Pancreatic Duct ◽  
Endoscopic Retrograde Cholangiopancreatography ◽  
Stent Placement ◽  
Guide Wire ◽  
High Risk Population ◽  
Pancreatic Stent ◽  
Stent Group ◽  
Endoscopic Retrograde ◽  
Pancreatic Duct Stent

Background: Acute pancreatitis is a common complication of endoscopic retrograde cholangiopancreatography (ERCP). Several medical and surgical procedures have been analyzed in prevention of post-ERCP pancreatitis as a major post-ERCP complication, so we conducted a study to assess the role of prophylactic pancreatic stents on prevention and severity of post-ERCP pancreatitis. Materials and Methods: This case control studied adult patients undergoing ERCP at the ERCP unit of a referral educational hospital. Data of the case (stent, N=90) and control (non-stent) (N=105) groups were retrieved from medical records. In our center, sphinctrerotomy was performed for 103 patients of non-stent group and successful pancreatic stent placement was done in 86 patients of stent group in a standard fashion. In stent group, a 5F, 4 centimeter pancreatic stent was emplaced over a guide wire under fluoroscopic guidance. All post–ERCP pancreatitis and major complications of all patients were retrieved too. Results: Of 255 enrolled patients, 195 were at high risk of post-ERCP pancreatitis allocated in two groups of this study. Successful pancreatic stent placement was done in 86 patients (95.6%) of stent group. There was no major complication during procedures. The migration of pancreatic duct stent was diagnostic in 3 (3.5%) patients. The overall post ERCP pancreatitis was 4.0% and 16.6% in stent and non-stent groups, respectively. Conclusion: Based on our findings in this study, we strongly recommended pancreatic duct stent placement in high-risk patients; although the experience of endoscopist plays a crucial role. [GMJ.2015;4(2):67-71]

Acute pancreatitis in rats: effects of sodium taurocholate, CCK-8, and Sec on pancreatic microcirculation

1997 ◽  
Vol 272 (2) ◽  
pp. G310-G320 ◽  
Author(s):  
T. Plusczyk ◽  
S. Westermann ◽  
D. Rathgeb ◽  
G. Feifel
Keyword(s):  
Blood Flow ◽  
Pancreatic Duct ◽  
Capillary Permeability ◽  
Sodium Taurocholate ◽  
Capillary Density ◽  
Capillary Blood ◽  
Capillary Blood Flow ◽  
Biliary Pancreatitis ◽  
Acute Biliary Pancreatitis

With use of in vivo microscopy, pancreatic duct permeability, red blood cell (RBC) velocities, functional capillary density (FCD), and overall changes in capillary blood flow (perfusion index) were estimated after intraductal infusion of sodium taurocholate (0.8 ml, 4%) alone or in combination with systemic administration of cholecystokinin (CCK, 0.3 microg/100 g body wt) or secretin (Sec, 10 microg/100 g body wt). Sodium taurocholate mediated a significant increase in pancreatic duct and capillary permeability within 105 +/- 26 s followed by a transient decrease in RBC velocities and a sustained decrease in FCD, which were paralleled by dramatic flow heterogeneity. Therefore, a significant reduction in overall capillary blood flow was calculated. CCK stimulation aggravated the microcirculatory failure due to a decrease in RBC velocities, which was accompanied by an increase in acinar cellular necrosis. Sec stimulation attenuated microcirculatory failure due to a more moderate reduction of FCD. The enhanced pancreatic duct and capillary permeability, which enables free diffusion of pancreatic digestive enzymes into the parenchyma, is the initiating event in acute biliary pancreatitis, causing microcirculatory failure and tissue damage. The microcirculatory changes are secondary and a propagating factor for the development of acini necrosis. Stimulation with CCK worsened the course of acute biliary pancreatitis.

Systematic review and meta-analysis of outcomes after intraoperative pancreatic duct stent placement during pancreaticoduodenectomy

2012 ◽  
Vol 99 (8) ◽  
pp. 1050-1061 ◽  
Author(s):  
J. J. Xiong ◽  
K. Altaf ◽  
R. Mukherjee ◽  
W. Huang ◽  
W. M. Hu ◽  
...  
Keyword(s):  
Systematic Review ◽  
Pancreatic Duct ◽  
Stent Placement ◽  
Meta Analysis ◽  
Pancreatic Duct Stent
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