Author/Authors :
-، - نويسنده Department of Internal Medicine, School of Medicine, Mashhad university of Medical science, Mashhad, Iran Hoseini, Seyed Mousalreza , -، - نويسنده Department of Internal Medicine, School of Medicine, Mashhad university of Medical science, Mashhad, Iran Esmaeelzadeh, Abbas , -، - نويسنده Department of Internal Medicine, School of Medicine, Mashhad university of Medical science, Mashhad, Iran Salari, Masoumeh , -، - نويسنده Addiction Research Center and Cardiac anesthesia Research Center, School of Medicine, Mashhad university of Medical science, Mashhad, Iran Dadpour, Bita , -، - نويسنده Department of Internal Medicine, School of Medicine, Mashhad university of Medical science, Mashhad, Iran Yekta Roudi, Khadijeh , -، - نويسنده Department of Infectious Diseases, School of Medicine, Mashhad university of Medical science, Mashhad, Iran Yekta Roudi, Mohammad , -، - نويسنده Department of Internal Medicine, School of Medicine, Mashhad university of Medical science, Mashhad, Iran Javid Arabshahi, Zahra
Abstract :
Pancreatitis is the most common and important complication of endoscopic retrograde cholangiopancreatography (ERCP). Several risk factors play a role in the formation and progression of pancreatitis. These risk factors may be related to the patient, procedure or operator. All of these risk factors should be considered and should be lowered as far as possible with attention to pathogenesis of the development of post-ERCP pancreatitis. The pathogenesis include sphincter spasm, infection, contrast toxicity and pancreatic secretion that induce the activation of proteolytic enzymes and inflammatory processes. Some methods and pharmacologic agents assessed for the prevention of pathway in the pathogenesis to decrease post-ERCP pancreatitis.
