Repositorio Digital

Early precut is as efficient as pancreatic stent in preventing post-ERCP pancreatitis in high-risk subjects. A randomized study

Mostrar el registro sencillo del ítem

dc.contributor.author Zagalsky, David
dc.contributor.author Guidi, Martín
dc.contributor.author Curvale, Cecilia
dc.contributor.author Lasa, Juan
dc.contributor.author De María, Julio
dc.contributor.author Ianniccillo, Hernán
dc.contributor.author Hwang, Hui Jer
dc.date.accessioned 2016-09-02T12:52:28Z
dc.date.available 2016-09-02T12:52:28Z
dc.date.issued 2016
dc.identifier.citation Zagalsky D, Guidi M, Curvale C, Lasa J, De María J, Ianniccillo H, Hui Jer H, Matano R. Early precut is as efficient as pancreatic stent in preventing post-ERCP pancreatitis in high-risk subjects - A randomized study. Rev Esp Enferm Dig 2016;108(9):558-562. es_AR
dc.identifier.issn 1130-0108
dc.identifier.other DOI: 10.17235/reed.2016.4348/2016
dc.identifier.uri http://repositorio.hospitalelcruce.org/xmlui/handle/123456789/396
dc.description Fil: Zagalsky, D. Hospital Nacional Prof. A. Posadas. Departamento de Gastroenterología. El Palomar, Argentina. es_AR
dc.description Fil: Guidi, M. Hospital de Alta Complejidad en Red El Cruce Dr. Néstor C. Kirchner. Servicio de Gastroenterología. Florencio Varela, Argentina. es
dc.description Fil: Curvale, C. Hospital de Alta Complejidad en Red El Cruce Dr. Néstor C. Kirchner. Servicio de Gastroenterología. Florencio Varela, Argentina; Hospital Nacional Prof. A. Posadas. Departamento de Gastroenterología. El Palomar, Argentina. es
dc.description Fil: Lasa, J. Hospital Nacional Prof. A. Posadas. Departamento de Gastroenterología. El Palomar, Argentina. es
dc.description Fil: De María, J. Hospital de Alta Complejidad en Red El Cruce Dr. Néstor C. Kirchner. Servicio de Gastroenterología. Florencio Varela, Argentina. es
dc.description Fil: Ianniccillo, H. Hospital Nacional Prof. A. Posadas. Departamento de Gastroenterología. El Palomar, Argentina. es
dc.description Fil: Hwang, H. Hospital de Alta Complejidad en Red El Cruce Dr. Néstor C. Kirchner. Servicio de Gastroenterología. Florencio Varela, Argentina. es
dc.description Fil: Matano, R. Hospital de Alta Complejidad en Red El Cruce Dr. Néstor C. Kirchner. Servicio de Gastroenterología. Florencio Varela, Argentina. es
dc.description.abstract Background: The most common adverse event of endoscopic retrograde cholangiopancreatography is pancreatitis. Precut sphincterotomy has been regarded as a risk factor. Some authors have stated that early precut may actually reduce post-ERCP pancreatitis risk. However, early precut as a preventive measure has not been compared to other preventive measures, such as pancreatic duct stent placement. Aim: To compare the efficacy of early precut sphincterotomy versus pancreatic duct stent placement in high-risk subjects undergoing endoscopic retrograde cholangiopancreatography for the prevention of post-endoscopic cholangiopancreatography. Materials and methods: This was a single-blinded, randomized trial that took place in two tertiary referral centers in Buenos Aires, from November 2011 to December 2013. ERCP subjects presented at least one of the following risk factors: female sex, age less than 40 years, clinical suspicion of sphincter of Oddi dysfunction, previous pancreatitis, and/or common bile duct diameter of less than 8 mm. Only those who presented a difficult biliary cannulation were randomized into two groups: those who received early precut sphincterotomy and those in whom persistency of biliary cannulation was intended, with subsequent pancreatic duct stent placement after cholangiography was achieved. The incidence of post-ERCP pancreatitis, as well as other adverse events incidence, was compared. Results: Overall, 101 patients were enrolled, 51 in the pancreatic duct stent group and 50 in the early precut group. Pancreatitis rate was similar in both groups (3.92% vs 4%, p NS). In all cases, pancreatitis was classified as mild. There were no deaths registered. Conclusion: Early precut was associated with an incidence of adverse events similar to pancreatic duct stent placement. es_AR
dc.language.iso en_US es_AR
dc.publisher Sociedad Española de Patología Digestiva, la Sociedad Española de Endoscopia Digestiva y la Asociación Española de Ecografía Digestiva es_AR
dc.relation.ispartofseries Revista Española de Enfermedades Digestivas;
dc.subject Stents es_AR
dc.subject Pancreatitis es_AR
dc.subject Enfermedades Pancreáticas es_AR
dc.title Early precut is as efficient as pancreatic stent in preventing post-ERCP pancreatitis in high-risk subjects. A randomized study es_AR
dc.type Article es_AR


Ficheros en el ítem

Este ítem aparece en la(s) siguiente(s) colección(ones)

Mostrar el registro sencillo del ítem