Of PEP amongst patients who ceftazidime or diclophenac potassium. Ceftazidime may possibly be used as option remedy for prevening PEP in individuals with contraincidations for NSAID. References . Dumonceau JM,Andriulli A,Elmunzer BJ,et al. Prophylaxis of postERCP pancreatitis: European Society of Gastrointestinal Endoscopy (ESGE) Guideline updated June . Endoscopy ; . : . . Freeman ML and Guda NM. Prevention of postERCP pancreatitis: a comprehensive critique. Most important pancreatic PubMed ID:https://www.ncbi.nlm.nih.gov/pubmed/26773154 duct (MPD) strictures on account of chronic pancreatitis (CP) may perhaps be treated endoscopically by insertion of single or multiple plastic stents. MPD stricture resolution following plastic stents removal happens in close to with the situations. Aims Procedures: We evaluate the usage of removable fully covered,self expandable metal stents (FCSEMS) to dilate MPD strictures secondary to CP. Individuals with CP and symptomatic MPD strictures within the head of the pancreas that persisted months right after placement of a single plastic stent,had been enrolled into a potential single arm trial. The protocol was authorized in the Ethic Committee of our University. A Nitinol FCSEMS (Bumpy stent,Taewoong) was inserted and removed soon after months. FCSEMS diameter ( or mm) and length (,cm) were chosen based on stricture anatomy and MPD diameter above the stricture. Stricture resolution was defined as a satisfactory pancreaticoduodenal contrast medium outflow and absence of discomfort for the duration of continuous flushing with saline (mlday) for hours by means of a french nasopancreatic drain. Primary objective was FCSEMS removability. Secondary objectives had been MPD stricture resolution price and complications. Followup was planned just about every months through a year. Pancreatic discomfort episodes and recurrence of pancreatitis have been recorded. Outcomes: In between Dec and Oct ,sufferers (M,mean age y) were enrolled. Pancreatic calcifications have been present in ( and ESWL was performed in . Four sufferers ( had a history of alcohol abuse. In cases the FCSEMS was inserted by means of the major papilla ( had a earlier biliary sphincterotomy,had pancreatic sphincterotomy alone,had choledochoduodenostomy),when sufferers ( pancreas divisum,dominant dorsal duct) the FCSEMS through the minor papilla. A single patient developed cholangitis just after hours due to occlusion of the biliary sphincterotomy from the FCSEMS; cholangitis resolved following insertion of a plastic biliary stent. For the duration of stenting period sufferers ( were asymptomatic while had recurrent pancreatitis following and months; the FCSEMS had migrated along with the persistent MPD stricture was treated having a plastic stent. FCSEMS totally migrated in patients and may very well be removed endoscopically inside the remaining instances. 4 patients ( created a tight stricture induced by FCSEMS in the amount of its proximal finish; in one particular case the stricture was overcome only soon after EUSguided pancreatic rendezvous. Hauser,I. Blazevic,N. Salkic,G. Poropat,V. Giljaca,Z. Bulic,D. Stimac Division of Internal Med Division of Gastroent,Division of Emergency Medicine,Clinical Hospital Centre,Rijeka,Croatia,Rijeka,Croatia,Department of Gastroenterology and Hepatology,University Clinical Centre Tuzla,Tuzla,Bosnia and Herzegovina Make contact with E mail Address: goran.hausermedri.uniri.hr Introduction: Postendoscopic retrograde cholangiopancreatography (ERCP) pancreatitis (PEP) is the most typical important MedChemExpress RS-1 complication of ERCP. Its incidence has substantial variations ranging from . to additional than of all ERCP procedures. In some cases pancreatitis is followed by extreme course with.