M1462: Rescue ERCP and Emergency Pancreatic Duct Stent Placement Against Post-ERCP Pancreatitis

Abstract

Pancreatitis is the most common and potentially serious complications of endoscopic retrograde cholangiopancretograpy (ERCP), depending on patients and procedure-related factors. Prophylactic pancreatic duct (PD) stent placement reduces the risk of post-ERCP pancreatitis (PEP) in high risk patients. Impaired drainage of the PD resulting from papillary edema is the one of the possible triggers for PEP. Rescue ERCP and emergency PD stent placement against PEP as a possible endoscopic therapy has not been reported except for Madácsy L et al (Surg Endosc 2009).