| Does prophylactic pancreatic stent placement reduce the risk of post-ERCP acute pancreatitis? A meta-analysis of controlled trials. | |
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MedLine Citation:
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PMID: 15472676 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Impaired drainage of the pancreatic duct is one of the possible triggers for post-ERCP acute pancreatitis. The aim of this meta-analysis was to determine whether temporary stent placement across the main pancreatic-duct orifice lowers the frequency of post-ERCP acute pancreatitis in patients at high risk for this complication. METHODS: Two reviewers systematically identified prospective studies that (1) compared the risk of post-ERCP acute pancreatitis in patients with pancreatic stent placement vs. no stent placement and (2) included patients at high risk of developing this complication. Studies were assessed for methodologic quality and variations in execution and design. Frequency and severity of post-ERCP acute pancreatitis were the primary outcomes evaluated. RESULTS: Five trials involving 481 patients were selected. Of the 481, 55 (11.4%) patients developed pancreatitis after ERCP. Patients in the no stent group had 3-fold higher odds of developing pancreatitis compared with the stent group (15.5% vs. 5.8%; OR 3.2: 95% CI[1.6, 6.4]). Number needed to treat analysis showed that one in every 10 patients (95% CI[6,18]) could be expected to benefit from pancreatic-duct stent placement. CONCLUSIONS: Prophylactic temporary stent placement across the main pancreatic-duct orifice reduces the risk of post-ERCP acute pancreatitis in patients at risk for developing this complication. |
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Authors:
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Pankaj Singh; Ananya Das; Gerard Isenberg; Richard C K Wong; Michael V Sivak; Deepak Agrawal; Amitabh Chak |
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Publication Detail:
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Type: Journal Article; Meta-Analysis; Research Support, U.S. Gov't, P.H.S. |
Journal Detail:
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Title: Gastrointestinal endoscopy Volume: 60 ISSN: 0016-5107 ISO Abbreviation: Gastrointest. Endosc. Publication Date: 2004 Oct |
Date Detail:
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Created Date: 2004-10-08 Completed Date: 2005-02-15 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 0010505 Medline TA: Gastrointest Endosc Country: United States |
Other Details:
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Languages: eng Pagination: 544-50 Citation Subset: IM |
Affiliation:
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Division of Gastroenterology, Department of Internal Medicine, University Hospitals of Cleveland, Ohio, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Acute Disease Cholangiopancreatography, Endoscopic Retrograde* Clinical Trials as Topic Humans Pancreatitis / prevention & control* Postoperative Complications Prospective Studies Sensitivity and Specificity Stents |
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