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Research Paper | Medical Science | India | Volume 12 Issue 7, July 2023

Incidence & Risk Factors for Post ERCP Pancreatitis in a Tertiary Care Centre in South India

Sandeep Kumar Reddy G | Dr. K. Muthukumaran

Abstract: Background & Aims: The most feared adverse event of ERCP is post-ERCP pancreatitis (PEP), which occurs in approximately 8% of average-risk and 15% of high-risk procedures and is the most frequent serious Adverse event of GI endoscopy. Our aim was to evaluate the incidence of post-ERCP pancreatitis; to identify risk factors for post-ERCP pancreatitis including patient, procedure and operator related variables. Methods: This is a prospective study done in 120 patients undergoing ERCP in a high volume centre, a tertiary care centre in South India over a period of one year. Results: A Total of 120 patients were included in this study. Of them 65 males and 55 females were included in this study. Of them 90 were below 60 yrs and 30 were above 60 years. Among them 75(62.5%) patients had benign lesions like stone, stricture etc and 45 (37.5%) had malignant. In this study total of 18 patients developed PEP. Among 18 patients who developed PEP,12 cases had previous history of pancreatitits (p-value <0.05). PEP developed in 14 out of 20 cases in whom balloon dilatation was done during ERCP (P-VALUE 0.05). 23 cases were suspected for high risk of PEP during procedure and hence prophylactic PD stent in done, of them none developed post ercp pancreatitis (p value <0.05). Conclusions: PEP is one of the feared complication of ERCP, severe cases increase health related costs. Early identi?cation of associated risk factors and management accordingly improves health related quality of life and decrease burden on health care.

Keywords: ERCP, endoscopic retrograde cholangiopancreatography, PEP, post ercp pancreatitis, PD, pancreatic duct

Edition: Volume 12 Issue 7, July 2023,

Pages: 928 - 931