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Clinical practice guideline for post-ERCP pancreatitis.

Tetsuya Mine1, Toshio Morizane2, Yoshiaki Kawaguchi3

  • 1Tokai University, School of Medicine, Isehara, Japan. tetsu-m@is.icc.u-tokai.ac.jp.

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This clinical practice guideline addresses post-ERCP pancreatitis (PEP), a complication of endoscopic retrograde cholangiopancreatography (ERCP). It provides recommendations for managing PEP, aiding gastroenterologists in patient care.

Keywords:
Clinical guidelineEndoscopic retrograde cholangiopancreatography (ERPC)Post-ERCP pancreatitis

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Area of Science:

  • Gastroenterology
  • Medical Guidelines

Background:

  • Endoscopic retrograde cholangiopancreatography (ERCP) is a procedure for diagnosing and treating pancreatic and biliary diseases.
  • Post-ERCP pancreatitis (PEP) is a known complication requiring specialized care and clinical guidelines.

Purpose of the Study:

  • To develop a clinical practice guideline for the diagnosis and management of Post-ERCP pancreatitis (PEP).
  • To address key clinical questions regarding PEP, including risk factors, diagnosis, treatment, and prevention.

Main Methods:

  • Formulated clinical questions based on key issues in PEP diagnosis and treatment.
  • Conducted literature searches in PubMed (MEDLINE) and Ichushi-web.
  • Assessed diagnostic test accuracy using QUADAS-2-like criteria and graded recommendations.

Main Results:

  • Developed ten clinical questions with recommendations and explanations for PEP.
  • Covered risk factors, diagnosis, prognostic factors, treatments, and preventive interventions for PEP.

Conclusions:

  • This report presents the core elements of the clinical practice guideline for PEP.
  • The guideline is intended for gastroenterologists to inform clinical practice regarding PEP management.