GIT J club endoscopy dec 2014.

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Endoscopy articlEs

Transcript of GIT J club endoscopy dec 2014.

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Endoscopy

articlEs

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Eight RCTs &several meta-analyses demonstrated that rectal (NSAIDs) reduce the risk of (PEP) by about 50%.

Rectal indomethacin/ diclofenac also reduce the severity of PEP, effective in both high& average-risk cases

It is grade A recommendation by the European Society of GIE for almost all patients undergoing ERCP.

Although the uptake in clinical practice has been rapid & widespread, there does appear to be some apprehension surrounding the rectal mode of administration.

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Rectal administration is unappealing to some healthcare providers &may be undesirable to certain patients. NSAID suppositories are not available on many hospitals, challenging to obtain& marginally more expensive than their parenteral counterparts. Based on available RCT data, only rectal indomethacin or diclofenac should be prescribed for PEP prevention, as recommended by existing guidelines

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