Abstract: ERCP stands for endoscopic retrograde cholangiopancreatography. It is an endoscopic procedure where a bendable, lighted tube endoscope about the thickness of an index finger is placed through the mouth and into your stomach and the first part of the small intestine. The most common reasons to do ERCP include abdominal pain, weight loss, jaundice, or ultrasound or CT scan that shows stones or a mass in these organs. ERCP is a procedure that is used to diagnose diseases of the gallbladder, biliary system, pancreas, and liver. ERCP can be used as both a screening as well as the diagnostic procedure. It can screen the pathologies related to the biliary and pancreatic ducts and can be used in pathologies associated with the same like CBD and pancreatic duct stones, structures and polyps. Although it is a highly advanced procedure with multiple advantages at the same time ERCP has its own risks. This endoscopic procedure can lead to a number of complications and acute pancreatitis is one of them. ERCP is associated with a 5%-10% risk of pancreatitis. There are several potential underlying mechanisms of pancreatic injury during ERCP, including mechanical, thermal, chemical, hydrostatic, enzymatic, and microbiologic insults. Appropriate hydration, close monitoring and use of pharmacoprevention can help decrease the incidence of this complication. Once the patient has developed acute pancreatitis, adequate hydration is very important. Pain control, monitoring infection and attention to nutrition are other important aspects to cover for all patients with acute pancreatitis.
Keywords: endoscopic, gallbladder, pancreas, CT scan, ERCP.
Title: ACUTE PANCREATITIS – A POST ERCP COMPLICATION
Author: Dr. Ashish Shrivastava, Dr. Rinu S Varghese, Dr. Bibek Karki, Dr. Nikhila Chadalawada, Dr. Inshiya Dawoodi, Dr. Magdelene J Anthony, Dr. Krystal A. Latchman, Dr. Maheen Hassan, Dr. Zouina Sarfraz, Dr. Roy M. Lim, Jr.
International Journal of Healthcare Sciences
ISSN 2348-5728 (Online)
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