Abstract

Endoscopic Retrograde Cholangiopancreatography (ERCP) is the mainstay procedure for managing pancreatic and biliary disorders. The most common complication of this procedure is acute pancreatitis, which occurs in 2-10% of the general population. However, Its frequency may go up to 40% in high-risk cases and is endoscopist dependent. Risk factors for post-ERCP pancreatitis (PEP) include young age, female sex, history of pancreatitis, non-dilated bile ducts, sphincter of Oddi dysfunction, etc. Early PEP prediction may allow safe same-day outpatients discharge after ERCP and earlier proper management. This meta-analysis aims to assess the usefulness of post-ERCP evaluation of pancreatic enzymes (lipase and amylase) in predicting PEP.

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