Does prophylactic pancreatic stent placement reduce the risk of post-ERCP acute pancreatitis? A meta-analysis of controlled trials - 25/08/11
Reprint requests: Pankaj Singh, MD, MS, Division of Gastroenterology and Hepatology, 1901 South 1st St., Central Texas Veterans Health Care System, Temple, TX 76504.Cleveland, Ohio
Résumé |
Background |
Impaired drainage of the pancreatic duct is one of the possible triggers for post-ERCP acute pancreatitis. The aim of this meta-analysis was to determine whether temporary stent placement across the main pancreatic-duct orifice lowers the frequency of post-ERCP acute pancreatitis in patients at high risk for this complication.
Methods |
Two reviewers systematically identified prospective studies that (1) compared the risk of post-ERCP acute pancreatitis in patients with pancreatic stent placement vs. no stent placement and (2) included patients at high risk of developing this complication. Studies were assessed for methodologic quality and variations in execution and design. Frequency and severity of post-ERCP acute pancreatitis were the primary outcomes evaluated.
Results |
Five trials involving 481 patients were selected. Of the 481, 55 (11.4%) patients developed pancreatitis after ERCP. Patients in the no stent group had 3-fold higher odds of developing pancreatitis compared with the stent group (15.5% vs. 5.8%; OR 3.2: 95% CI[1.6, 6.4]). Number needed to treat analysis showed that one in every 10 patients (95% CI[6,18]) could be expected to benefit from pancreatic-duct stent placement.
Conclusions |
Prophylactic temporary stent placement across the main pancreatic-duct orifice reduces the risk of post-ERCP acute pancreatitis in patients at risk for developing this complication.
Le texte complet de cet article est disponible en PDF.Plan
| Amitabh Chak is supported by a Midcareer Investigator Award in Patient Oriented Research from the National Institute of Health. |
Vol 60 - N° 4
P. 544-550 - octobre 2004 Retour au numéro
Article précédent
- Hyaluronic acid stimulates tumor-cell proliferation at wound sites
- Yoko Matsui, Masafumi Inomata, Koichi Izumi, Kazuya Sonoda, Norio Shiraishi, Seigo Kitano
- Endoscopic sphincterotomy by using pure-cut electrosurgical current and the risk of post-ERCP pancreatitis: a prospective randomized trial
- Donald G. MacIntosh, Jonathan Love, Neena S. Abraham
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?