Year 2018 / Volume 110 / Number 7
Editorial
Pancreatic stents in ERCP. Where are we?

413-415

DOI: 10.17235/reed.2018.5670/2018

Francisco Pérez Roldán, Pedro González Carro,

Abstract
Post-ERCP pancreatitis (PEP) is a common complication most feared by endoscopists. Incidence ranges widelly from 2.1% to 24.4%, which results from patient heterogeneity and differences in endoscopist expertise, method, PEP definition, and severity. Pathophysiology is multifactorial, and involves a combination of chemical, thermal, mechanical, hydrostatic, enzymatic, allergic, and microbiological factors resulting from papillary instrumentation and/or contrast administration within the pancreatic duct (volume and osmolarity). Even genetic abnormalities may represent a risk factor, as is the case with homozygous alpha-1-antitrypsin deficiency, which leads to an increase in hemorrhagic PEP rates.
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Pérez Roldán F, González Carro P. Pancreatic stents in ERCP. Where are we?. 5670/2018


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Publication history

Received: 22/04/2018

Accepted: 30/04/2018

Online First: 12/06/2018

Published: 02/07/2018

Article Online First time: 51 days

Article editing time: 71 days


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