Evidence map›Paper›PMID 29991936›Full record

ArticleGastroenterology & hepatology2018

A Review of Prevention of Post-ERCP Pancreatitis.

Shannon J Morales, Kartik Sampath, Timothy B Gardner

Abstract read
PubMed Full text at PMC
In one paragraph

Article in Gastroenterology & hepatology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Shannon J MoralesDr Morales is a gastroenterology fellow, Dr Sampath is an advanced endoscopy fellow, and Dr Gardner is an associate professor of medicine in the Division of Gastroenterology at Dartmouth-Hitchcock Medical Center in Lebanon, New Hampshire.
Kartik SampathDr Morales is a gastroenterology fellow, Dr Sampath is an advanced endoscopy fellow, and Dr Gardner is an associate professor of medicine in the Division of Gastroenterology at Dartmouth-Hitchcock Medical Center in Lebanon, New Hampshire.
Timothy B GardnerDr Morales is a gastroenterology fellow, Dr Sampath is an advanced endoscopy fellow, and Dr Gardner is an associate professor of medicine in the Division of Gastroenterology at Dartmouth-Hitchcock Medical Center in Lebanon, New Hampshire.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Endoscopic retrograde cholangiopancreatography (ERCP) is a diagnostic and therapeutic procedure employed in the management of disorders of the biliary system. Post-ERCP pancreatitis (PEP) is the most common complication of ERCP and can lead to significant morbidity as well as occasional mortality. In addition to adequate procedural training, therapeutic endoscopists who perform ERCPs should possess a thorough understanding of patient- and procedure-related risk factors for PEP. This knowledge can inform patient selection for ERCP and allow for appropriate management efforts to be performed in high-risk cases. Procedural techniques promoting minimally traumatic biliary cannulation should be employed when initial standard techniques are unsuccessful. In high-risk patients, several measures can be undertaken to limit the risk of PEP, including administration of rectal nonsteroidal anti-inflammatory drugs, prophylactic placement of pancreatic duct stents, and liberal administration of lactated Ringer solution. When PEP does occur, appropriate management with aggressive intravenous hydration, pain control, and early enteral nutrition should be administered. Additional research is needed to further define risk factors for PEP, optimal procedural techniques used during ERCP, and ideal prevention and treatment strategies to limit the incidence and severity of PEP in patients.

Indexed as

lactated Ringer solutionPost-endoscopic retrograde cholangiopancreatography pancreatitisprophylactic pancreatic stent placementrectal nonsteroidal anti-inflammatory drugs

Identifiers

PMID29991936
PMCPMC6034611

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.