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Related Concept Videos

Endoscopic Procedures V: ERCP01:26

Endoscopic Procedures V: ERCP

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Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
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Chronic Pancreatitis II: Collaborative Care01:29

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The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
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Chronic Pancreatitis I: Introduction01:24

Chronic Pancreatitis I: Introduction

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The pancreas, an elongated and flat gland situated behind the stomach, serves a vital function in digesting food and managing blood sugar levels.
Pancreatitis is the inflammation of the pancreas, which occurs when the immune system becomes active and causes swelling, pain, and disruptions in organ function. Pancreatitis can manifest as either an acute or chronic condition.
Acute pancreatitis arises suddenly and lasts for a brief duration, while chronic pancreatitis is a long-term affliction...
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Acute Pancreatitis II: Clinical Manifestations and Management01:30

Acute Pancreatitis II: Clinical Manifestations and Management

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Acute pancreatitis presents a complex medical emergency characterized by rapid onset inflammation of the pancreas, demanding timely diagnosis and management to prevent complications. The condition primarily manifests through severe upper abdominal pain that often radiates to the back. This pain intensifies following the consumption of fatty foods. Accompanying symptoms such as nausea, vomiting, abdominal distention, fever, dyspnea, cyanosis, and jaundice can vary in intensity but significantly...
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Acute Pancreatitis I: Introduction01:27

Acute Pancreatitis I: Introduction

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Pancreatitis is inflammation of the pancreas, an organ located behind the stomach. It can be either acute or chronic.
Acute pancreatitis is characterized by rapid inflammation of the pancreas, often caused by factors like gallstone blockage or excessive alcohol consumption. Chronic pancreatitis, on the other hand, is a slow, progressive inflammation that may result from long-term alcohol abuse, obstructions in the pancreatic duct, or genetic factors.
The causes of acute pancreatitis include:
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An Obstructive Chronic Pancreatitis Model Established Through Electrocoagulation
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An Obstructive Chronic Pancreatitis Model Established Through Electrocoagulation

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Preventing Post-ERCP Pancreatitis: Update 2016.

Martin L Freeman1

  • 1Division of Gastroenterology, Hepatology and Nutrition, University of Minnesota, MMC 36, 406 Harvard Street SE, Minneapolis, MN, 55455, USA. freem020@umn.edu.

Current Treatment Options in Gastroenterology
|June 29, 2016
PubMed
Summary
This summary is machine-generated.

Post-ERCP pancreatitis prevention strategies are evolving. Pancreatic stent placement is the most effective method, while the role of rectal NSAIDs is now questioned for unselected patients.

Keywords:
Endoscopic retrograde cholangiopancreatography (ERCP)Nonsteroidal anti-inflammatory agents (NSAIDS)Pancreatic stentPost-ERCP pancreatitis

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Robotic Lateral Pancreaticojejunostomy for Chronic Pancreatitis
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Related Experiment Videos

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Robotic Lateral Pancreaticojejunostomy for Chronic Pancreatitis
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Area of Science:

  • Gastroenterology
  • Endoscopic Retrograde Cholangiopancreatography (ERCP)

Background:

  • Post-ERCP pancreatitis (PEP) remains a significant clinical challenge.
  • Risk prediction and prevention methods for PEP are continually advancing.

Purpose of the Study:

  • To review current understanding of PEP risk factors and prevention strategies.
  • To highlight the efficacy of pancreatic stent placement in PEP prevention.

Main Methods:

  • Review of current literature on patient-related and procedure-related risk factors for PEP.
  • Evaluation of the role of pancreatic stents and pharmacoprophylaxis in PEP prevention.

Main Results:

  • Intraductal Papillary Mucinous Neoplasm (IPMN) is a patient-related risk, while smoking and chronic liver disease may be protective.
  • Deep guidewire passage into the pancreatic duct is a significant risk factor, mitigated by pancreatic stents.
  • Transpapillary metallic stents may increase PEP risk; rectal NSAIDs' efficacy is questioned in unselected cohorts.

Conclusions:

  • Pancreatic stent placement is the most reliable method for preventing PEP in both mixed- and high-risk ERCP procedures.
  • Technical expertise and specialized techniques are crucial for successful pancreatic stent placement and PEP prevention.