| Dietary approaches following endoscopic retrograde cholangiopancreatography: A survey of selected endoscopists. | |
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MedLine Citation:
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PMID: 21191513 Owner: NLM Status: PubMed-not-MEDLINE |
Abstract/OtherAbstract:
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AIM: To describe the dietary recommendations of experienced endoscopists for patients who have undergone endoscopic retrograde cholangiopancreatography (ERCP) and the factors that influence these recommendations. METHODS: Selected U.S. endoscopists with ERCP experience were surveyed by e-mail. A questionnaire with three hypothetical ERCP cases of patients at low, medium and high risk for development of post-ERCP pancreatitis (PEP) was shown. For each scenario, respondents were asked to recommend a post-procedure diet and time to first oral intake. Respondents were also asked about the effect of various clinical factors on their recommendations, including risk of PEP. RESULTS: 97/187 selected ASGE members (51.9%) responded. When risk of PEP was either low, medium or high, 53%, 88% and 96% recommended a diet of clear liquids/NPO respectively, and 2%, 5% and 18% recommended delaying first oral intake until the following day. About 88% of respondents gave the same type of diet to patients at high as those with moderate-risk of PEP (P = 0.04). However, 37% and 43% of respondents gave different types of diet to patients at low vs moderate-risk and low-risk vs high-risk of PEP respectively (P < 0.001). No statistically significant associations were found regarding the effect of other clinical factors or respondent demographics. CONCLUSION: Most experienced endoscopists limit diet to NPO/clear liquids after ERCP for patients at high or moderate risk of post-ERCP pancreatitis. About half allow a low-fat or regular diet in patients at low risk. |
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Authors:
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Lincoln Evvc Ferreira; Mark D Topazian; William S Harmsen; Alan R Zinsmeister; Todd H Baron |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: World journal of gastrointestinal endoscopy Volume: 2 ISSN: 1948-5190 ISO Abbreviation: World J Gastrointest Endosc Publication Date: 2010 Dec |
Date Detail:
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Created Date: 2010-12-30 Completed Date: 2011-07-14 Revised Date: 2011-07-19 |
Medline Journal Info:
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Nlm Unique ID: 101532474 Medline TA: World J Gastrointest Endosc Country: China |
Other Details:
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Languages: eng Pagination: 397-403 Citation Subset: - |
Affiliation:
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Lincoln EVVC Ferreira, Department of Medicine, Digestive Endoscopy Unit Hospital Universitario da Universidade Federal de Juiz de For a, Juiz de Fora, MG 36036247, Brasil. |
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