Year 2020 / Volume 112 / Number 11
Letter
The best plastic pancreatic stent to prevent post-ERCP pancreatitis

887-888

DOI: 10.17235/reed.2020.6955/2020

Jesús García-Cano, Miriam Viñuelas Chicano,

Abstract
We consider very interesting the comments made by Serrano Díaz et al. on pancreatic stents inserted as prophylaxis for acute post-ERCP pancreatitis. As we recently stated in an editorial related to the prevention of this frequent complication, the aggressive way in which the pancreatic gland may respond to contact with the devices that are used for common bile duct cannulation via the papilla of Vater is almost philosophically surprising. It is our opinion that, usually, a pancreatic stent should only be inserted if the guidewire has spontaneously entered the main pancreatic duct (MPD). In ERCPs aiming at bile duct drainage, even when bile duct cannulation has been troublesome with extensive papillary manipulation, attempting cannulation of the MPD with the sole purpose of stent insertion can be more harmful than beneficial.
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References
1. Serrano Díaz L, Marín Bernabé CM, Martínez Crespo JJ. Pancreatitis aguda secundaria a prótesis pancreática plástica profiláctica. Rev Esp Enf Dig 2020, xx
2. García-Cano J, Viñuelas Chicano M. Should we administer rectal anti-inflammatory drugs in all ERCPs in order to prevent pancreatitis? At least, it does not harm! Rev Esp Enferm Dig 2020. doi: 10.17235/reed.2020.6871/2020. [Epub ahead of print]
3. García-Cano J, Viñuelas Chicano M, Del Moral Martínez M, et al. Pancreatic stent insertion after an unintentional guidewire cannulation of the pancreatic duct during ERCP. Rev Esp Enferm Dig 2018;110:416-420. doi: 10.17235/reed.2018.5230/2017.
4. García-Cano J. What is the most cost-effective method for a difficult biliary cannulation in ERCP? Rev Esp Enferm Dig 2017;109:171-173. doi: 10.17235/reed.2017.4863/2017.
5. García-Cano J, Taberna-Arana L. Pancreatic duct perforation during guidewire cannulation in therapeutic biliary ERCP. United European Gastroenterology Journal 2018; 6 (8S): A 197.
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García-Cano J, Viñuelas Chicano M. The best plastic pancreatic stent to prevent post-ERCP pancreatitis. 6955/2020


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Publication history

Received: 09/02/2020

Accepted: 11/02/2020

Online First: 29/10/2020

Published: 10/11/2020

Article Online First time: 263 days

Article editing time: 275 days


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