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Publication Name World Journal of Gastrointestinal Endoscopy
Manuscript ID 115736
Country China
Category Gastroenterology & Hepatology
Manuscript Type Minireviews
Article Title Risk factors and prevention of post-endoscopic retrograde cholangiopancreatography pancreatitis
Manuscript Source Invited Manuscript
All Author List Pei-Wen Xu, Qian-Qian Xu, Yan Yu, Yan Jiao, Ya-Hui Liu and Lei Yang
Funding Agency and Grant Number
Corresponding Author Ya-Hui Liu, Department of Hepatobiliary and Pancreatic Surgery, General Surgery Center, The First Hospital of Jilin University, No. 1 Xinmin Street, Changchun 130000, Jilin Province, China. yahui@jlu.edu.cn
Key Words Post-endoscopic retrograde cholangiopancreatography pancreatitis; Risk factors; Prevention; Rectal non-steroidal anti-inflammatory drugs; Pancreatic duct stenting
Core Tip Post-endoscopic retrograde cholangiopancreatography (ERCP) pancreatitis remains the most frequent and severe complication of ERCP, arising from the interplay of patient and procedural risk factors. Key predictors include female sex, younger age, sphincter of Oddi dysfunction, difficult cannulation, and pancreatic duct manipulation. Evidence strongly supports rectal non-steroidal anti-inflammatory drugs, prophylactic pancreatic duct stenting, and aggressive intravenous hydration as effective preventive measures, particularly in high-risk patients. Recent advances in risk prediction models and artificial intelligence-driven analytics offer opportunities for individualized risk assessment and tailored prophylaxis, which may markedly reduce post-ERCP pancreatitis incidence and improve procedural safety.
Citation Xu PW, Xu QQ, Yu Y, Jiao Y, Liu YH, Yang L. Risk factors and prevention of post-endoscopic retrograde cholangiopancreatography pancreatitis. World J Gastrointest Endosc 2026; In press
Received
2025-10-24 02:51
Peer-Review Started
2025-10-24 02:51
First Decision by Editorial Office Director
2025-11-25 06:04
Return for Revision
2025-11-27 08:17
Revised
2025-11-28 09:02
Publication Fee Transferred
Second Decision by Editor
2026-01-20 02:33
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director
2026-01-20 09:51
Articles in Press
2026-01-20 09:51
Edit the Manuscript by Language Editor
Typeset the Manuscript
ISSN 1948-5190 (online)
Open Access This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
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