Rescue ERCP and a small caliber pancreatic stent insertion to prevent the evolution of severe post-ercp pancreatitis – a case series

Introduction: Pancreatitis is the most common complication of ERCP. Recently prophylactic placement of a trans-sphincteric pancreatic stent has successfully been applied in high-risk settings, but the number needed to treat to prevent one episode of severe post-ERCP pancreatitis is as high as nine patients. Rescue ERCP and emergency application of small caliber pancreatic stents during the early course of the development of severe post-ERCP pancreatitis as a possible endoscopic therapy seems logical, but has not been reported yet. Methods: All patients who underwent ERCP were hospitalized for at least 24h, with…