The Relation between Different Steps of ERCP and Post ERCP Pancreatitis

Hyperamylesemia is a common finding post ERCP and it is considered an independent risk factor in development of acute pancreatitis in this study we highlight the relation between 4 hours post ERCP pancreatitis and different steps and maneuver during the ERCP. Patients and Methods: Over 18 month duration between year 2013 and 2014 one hundred patients exposed to ERCP procedure were randomly selected from El-Ebrashi s center of Gastroenterology and Hepatology, Cairo University, 46 of them were males and 54 were females with a mean age 48.85 years. The patients were followed up during different steps of the procedure and a blood sample for serum amylase 4-hours later was measured. Results: The study showed that post ERCP hyperamylesemia as well as acute pancreatitis are directly related to different steps of ERCP including trials of common bile duct cannulation, pancreatic duct cannulation or injection, precut papillotomy, and balloon dilatation. Conclusions: Acute pancreatitis is an important complication of the ERCP procedure and should be suspected through different steps of the ERCP because many steps may lead to it.