Guest guest Posted May 22, 2008 Report Share Posted May 22, 2008 Really not much you can do. This is a fairly recent article: http://www.medscape.com/viewarticle/521049_4 In conclusion, multivariate analysis indicates that patient-related risk factors are as important as technical ones. Until effective, safe, and low-cost prophylactic drugs are definitively identified and made available, selective use in high-risk groups may be warranted. Unfortunately, such a drug is not available in the United States. Risk stratification will allow endoscopists to better identify patients who are at significant risk and permit detailed informed consent as well as possibly defer examinations in the highest-risk groups. Appropriate technical " prophylaxis " during ERCP, such as pancreatic ductal stenting, should also be carefully considered in high-risk patients to prevent the development of pancreatitis. Arne 57 - UC 1977 - PSC 2000 Alive and well in Minnesota ________________________________ From: [mailto: ] On Behalf Of da_charters ...I am looking for any advice on how to reduce the likelyhood of getting pancretitis. I know antibiotics pre-procedure is recommended, but what about post? Thanks for any advice. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 22, 2008 Report Share Posted May 22, 2008 Really not much you can do. This is a fairly recent article: http://www.medscape.com/viewarticle/521049_4 In conclusion, multivariate analysis indicates that patient-related risk factors are as important as technical ones. Until effective, safe, and low-cost prophylactic drugs are definitively identified and made available, selective use in high-risk groups may be warranted. Unfortunately, such a drug is not available in the United States. Risk stratification will allow endoscopists to better identify patients who are at significant risk and permit detailed informed consent as well as possibly defer examinations in the highest-risk groups. Appropriate technical " prophylaxis " during ERCP, such as pancreatic ductal stenting, should also be carefully considered in high-risk patients to prevent the development of pancreatitis. Arne 57 - UC 1977 - PSC 2000 Alive and well in Minnesota ________________________________ From: [mailto: ] On Behalf Of da_charters ...I am looking for any advice on how to reduce the likelyhood of getting pancretitis. I know antibiotics pre-procedure is recommended, but what about post? Thanks for any advice. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 22, 2008 Report Share Posted May 22, 2008 Really not much you can do. This is a fairly recent article: http://www.medscape.com/viewarticle/521049_4 In conclusion, multivariate analysis indicates that patient-related risk factors are as important as technical ones. Until effective, safe, and low-cost prophylactic drugs are definitively identified and made available, selective use in high-risk groups may be warranted. Unfortunately, such a drug is not available in the United States. Risk stratification will allow endoscopists to better identify patients who are at significant risk and permit detailed informed consent as well as possibly defer examinations in the highest-risk groups. Appropriate technical " prophylaxis " during ERCP, such as pancreatic ductal stenting, should also be carefully considered in high-risk patients to prevent the development of pancreatitis. Arne 57 - UC 1977 - PSC 2000 Alive and well in Minnesota ________________________________ From: [mailto: ] On Behalf Of da_charters ...I am looking for any advice on how to reduce the likelyhood of getting pancretitis. I know antibiotics pre-procedure is recommended, but what about post? Thanks for any advice. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 22, 2008 Report Share Posted May 22, 2008 It is exactly as Arne, has indicated. I have had ERCP's with and without pancreatitis. More ERCP's, without. Thank God. I usually take Cipro 1000mg, 3days prior. The test day i will be given Cipro w/the IV and i think they include another antibiotic, too that i cannot recall. If no pancreatitis, and i am released [usually next day or after], i would continue for about a total of 10days i believe [3 prior and 7 post]. And even though i did get pancreatitis, inspite of taking antiobiotics, i believe it is better to start taking it even prior to the test. You know that i have learned about the Pre-ERCP, CIPRO, from someone in this group and not from a doctor! And also about a lot and lots of other things, too. Isn't that something? I have one coming soon that was postponed twice. I do hope and pray that everything will go o.k. I do dread them but i believe it is better to look in there, at least annually. Take Care. Arne, A very interesting research information. You are the expert in pancreatitis. And of course you do help a lot in other issues, too. Thanks. PSC/UC Subject: RE: ERCP Advice To: Date: Friday, May 23, 2008, 12:01 AM Really not much you can do. This is a fairly recent article: http://www.medscape .com/viewarticle /521049_4 In conclusion, multivariate analysis indicates that patient-related risk factors are as important as technical ones. Until effective, safe, and low-cost prophylactic drugs are definitively identified and made available, selective use in high-risk groups may be warranted. Unfortunately, such a drug is not available in the United States. Risk stratification will allow endoscopists to better identify patients who are at significant risk and permit detailed informed consent as well as possibly defer examinations in the highest-risk groups. Appropriate technical " prophylaxis " during ERCP, such as pancreatic ductal stenting, should also be carefully considered in high-risk patients to prevent the development of pancreatitis. Arne 57 - UC 1977 - PSC 2000 Alive and well in Minnesota ____________ _________ _________ __ From: @ yahoogroups. com [mailto:@ yahoogroups. com] On Behalf Of da_charters ...I am looking for any advice on how to reduce the likelyhood of getting pancretitis. I know antibiotics pre-procedure is recommended, but what about post? Thanks for any advice. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 22, 2008 Report Share Posted May 22, 2008 I have nevrer had pancreatitis post ERCP. I'm thankful especially since I had at least 15 ERCP's starting in 1982 with most being from 2002-2007. I only had antibiotics IV during the ERCP. I have experienced pancreatitis though but the docs didn't figure out what triggered it. HTH Blessings, Barby - KS UC - 1965, ileostomy - 1972, BCIR (continent pouch) 1994, PSC - 1995, arthritis 2007, tx 11.29.07married 28 years , 5 sons, 2 daughters in law, 1 granddaughter, 1 grandbaby due 10/08 and 1 golden retriever Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 23, 2008 Report Share Posted May 23, 2008 Jusat to let you know I have had 5 ERCP's beginning in July 07. I have not had any problems so far. I believe that getting antibio beforhand is a great help. LEE G > > I am going in for my second ERCP in 6 months, the first of which > identified that I had PSC. I got through the first one with no > complications, but after reading posts on here the past number of > months I see that many people have had the horrible experience of > pancretitis after the ERCP. > > I am looking for any advice on how to reduce the likelyhood of getting > pancretitis. I know antibiotics pre-procedure is recommended, but what > about post? > > Thanks for any advice. > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 24, 2008 Report Share Posted May 24, 2008 I am just getting home from the hospital where I had another ERCP and a PTC at the same time......this really knocked me back some.....really tired...I have had 3 ERCP's since March and 1 different types of PTC's and I talked with a Liver Dr. at University of Wisconsin Hospital just today about having all these ERCP's.....I told him I was afraid of having so many and getting Pancretitis...he told me 'THE FIRST ERCP IS THE ONE THAT CAN CAUSE THE PROBLEMS......HE SAID THEY MAKE A CUT IN THAT ONE AND THAT IS THE DANGEROUS PART....ONCE YOU HAVE HAD ONE HE SAYS THEY JUST FOLLOW THE SAME TRACK AND GO THRO THE CUT THAT WAS MADE BEFORE...YOUR CHANCE OF INFECTION IS MUCH LESS AFTER THE FIRST ONE.....This made me feel better as if this brushing come back negative like the last one did then they are going to most likely do another ERCP and Brushing about every 6 months........they are watching me very close for cancer as he said I have 3 things going against me......1. PSC, 2. My age 59, 3. A stricture that has one of the ducts closed to the point they could not even get a wire the size of lead from a mechanical pencil through it......he said if I was 20 they would not be going at me as aggressively as they are now.....He said if they do get a positive brushing I have to have chemo and radiation then a liver transplant......This is really a scary time for us....Please keep us in your prayers as I am all of you.....Thanks, CJ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 24, 2008 Report Share Posted May 24, 2008 I did have 2 types of antibotics before and after my procedures.....think in all I had 3 set of antibotics...CJ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 24, 2008 Report Share Posted May 24, 2008 Cheryl -- you got it -- all good thoughts coming your way! Which duct was collapsed so badly? I found out Thursday that my right hepatic duct is the " problem. " I'll be facing MRCPs every 3-6 months and possibly another ERCP if they think they can get back in and do brushings. How is your CA 19-9? And Albumin? In any event, rest up and be well, Colleen u/c 8/1984 psc 8/2000 Trying to be a Tigger-in-training! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 6, 2008 Report Share Posted June 6, 2008 I am responding only now because i was having an ERCP, 5days ago and i am just starting to feel better from the after effects of sedatives---etc. Not that i had a complication, thank God. I was very scared, although my previous one, about 10mo ago was fine. So i wanted to add to Lee's statistics [Her ERCP's were awsume knock on wood], that mine was without complications, and probably the antib beforehand was a great help. Except for the sedatives, like always. But this time it took a little more time, so i had to stay in the hospital 3 nights. I did experience more nuasea and vomiting, this time, although they usuaslly include Zophran in the IV. And i also was running a 101d fever the 2nd night, that soon went down. I was put on post antibiotic for about 7 days, like previous tests [a total of 10days]. PSC/UC From: leegrilley@... Subject: Re: ERCP Advice To: Date: Saturday, May 24, 2008, 4:42 AM Jusat to let you know I have had 5 ERCP's beginning in July 07. I have not had any problems so far. I believe that getting antibio beforhand is a great help. LEE G I am going in for my second ERCP in 6 months, the first of which identified that I had PSC. I got through the first one with no complications, but after reading posts on here the past number of months I see that many people have had the horrible experience of pancretitis after the ERCP. I am looking for any advice on how to reduce the likelyhood of getting pancretitis. I know antibiotics pre-procedure is recommended, but what about post? Thanks for any advice. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 6, 2008 Report Share Posted June 6, 2008 I am responding only now because i was having an ERCP, 5days ago and i am just starting to feel better from the after effects of sedatives---etc. Not that i had a complication, thank God. I was very scared, although my previous one, about 10mo ago was fine. So i wanted to add to Lee's statistics [Her ERCP's were awsume knock on wood], that mine was without complications, and probably the antib beforehand was a great help. Except for the sedatives, like always. But this time it took a little more time, so i had to stay in the hospital 3 nights. I did experience more nuasea and vomiting, this time, although they usuaslly include Zophran in the IV. And i also was running a 101d fever the 2nd night, that soon went down. I was put on post antibiotic for about 7 days, like previous tests [a total of 10days]. PSC/UC From: leegrilley@... Subject: Re: ERCP Advice To: Date: Saturday, May 24, 2008, 4:42 AM Jusat to let you know I have had 5 ERCP's beginning in July 07. I have not had any problems so far. I believe that getting antibio beforhand is a great help. LEE G I am going in for my second ERCP in 6 months, the first of which identified that I had PSC. I got through the first one with no complications, but after reading posts on here the past number of months I see that many people have had the horrible experience of pancretitis after the ERCP. I am looking for any advice on how to reduce the likelyhood of getting pancretitis. I know antibiotics pre-procedure is recommended, but what about post? Thanks for any advice. Quote Link to comment Share on other sites More sharing options...
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