Gastroenterology Research, ISSN 1918-2805 print, 1918-2813 online, Open Access
Article copyright, the authors; Journal compilation copyright, Gastroenterol Res and Elmer Press Inc
Journal website http://www.gastrores.org

Original Article

Volume 9, Number 2-3, June 2016, pages 47-52


Role of Rectal Diclofenac Suppository for Prevention and Its Impact on Severity of Post-Endoscopic Retrograde Cholangiopancreatography Pancreatitis in High-Risk Patients

Figures

Figure 1.
Figure 1. Patients flow chart.
Figure 2.
Figure 2. Post-ERCP pancreatitis cases.
Figure 3.
Figure 3. Severity of post-ERCP pancreatitis.

Tables

Table 1. Patient Details About Indication of ERCP
 
Indication of ERCPRectal diclofenac group (n = 200)Placebo group (n = 200)P value
Gallbladder stones (with dilated CBD)2527> 0.05
Common bile duct stones5257> 0.05
Post cholecystectomy2018> 0.05
Malignancy (gallbladder, periampullary, cholangiocarcinoma)2116> 0.05
ERCP + suspected sphincter of Oddi dysfunction6669> 0.05
Common bile duct stricture (including those with chronic pancreatitis)1613> 0.05

 

Table 2. Characteristic of Patients at Baseline
 
CharacteristicRectal diclofenac group (n = 200)Placebo group (n = 200)P value
Mean age, years45.4447.86> 0.05
Female sex, no. (%)128 (64%)123 (61.5%)> 0.05
Suspected sphincter of Oddi dysfunction (%)66 (33%)69 (34.5%)> 0.05
Precut sphincterotomy (%)21 (10.5%)24 (12%)> 0.05
Pancreatic duct cannulation (%)26 (13%)24 (12%)> 0.05
Pancreatic acinarization (%)9 (4.5%)8 (4%)> 0.05
History of recurrent pancreatitis (%)40 (20%)35 (17.5%)> 0.05
History of post ERCP pancreatitis (%)6 (3%)5 (2.5%)> 0.05
Pancreatic sphincterotomy (%)11 (5.5%)12 (6%)> 0.05
AmpullectomyNoneNone> 0.05
Difficult cannulation (%)61 (30.5%)66 (33%)> 0.05
Pancreatic duct stenting (%)11 (5.5%)12 (6%)> 0.05