Indomethacin holds no benefit for patients undergoing endoscopic retrograde cholangiopancreatography — 3 points

A study published in Gastroenterology found rectal indomethacin does not prevent the development of post-endoscopic retrograde cholangiopancreatography pancreatitis for patients undergoing ERCP.

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John M. Levenick, MD, from the Penn State Hershey Medical Center, and colleagues conducted a prospective trial of 449 patients undergoing ECRP. Patients were randomized to a single dose of rectal indomethacin or a placebo suppository.

Here are three points:

1. The researchers found between 7.2 percent and 4.9 percent of patients in the indomethacin and placebo groups, respectively, developed pancreatitis.

2. Between the groups, complications and pancreatitis’ severity were similar.

3. The study was stopped early owing to futility per a priori protocol guidelines.

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