Naslov
Endoscopic retrograde cholangiopancreatography- induced and non-endoscopic retrograde cholangiopancreatography-induced acute pancreatitis: Two distinct clinical and immunological entities?

Autori
Ivana, Plavsic ; Ivana, Žitinić ; Ivana, Mikolasević ; Goran, Poropat ; Goran, Hauser

Izvornik
World Journal of Gastrointestinal Endoscopy (1948-5190) 10 (2018); 259-266

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, pregledni rad, znanstveni

Ključne riječi
ERCP, PAncreatitis
(Acute pancreatitis ; Endoscopic retrograde cholangiopancreatography ; Post endoscopic retrograde cholangiopancreatography pancreatitis)

Sažetak
Abstract Acute pancreatitis (AP) is common gastrointestinal disease of varied aetiology. The most common cause of AP is gallstones, followed by alcohol abuse as an independent risk factor. With the increased need for invasive techniques to treat pancreatic and bile duct pathologies such as endoscopic retrograde cholangiopancreatography (ERCP), AP has emerged as the most frequent complication. While severe AP following ERCP is rare (0.5%), if it does develop it has a greater severity index compared to non-ERCP AP. Development of a mild form of AP after ERCP is not considered a clinically relevant condition. Differences in the clinical presentation and prognosis of the mild and severe forms have been found between non-ERCP AP and post- endoscopic pancreatitis (PEP). It has been proposed that AP and PEP may also have different immunological responses to the initial injury. In this review, we summarise the literature on clinical and inflammatory processes in PEP vs non-ERCP AP.

Izvorni jezik
Engleski

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