Study: Rectal Indomethacin Helps Reduce Post-ERCP Pancreatitis

A new study published in the New England Journal of Medicine shows rectally administered indomethacin significantly reduced the incidence of pancreatitis after endoscopic retrograde cholangiopancreatography.

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Researchers enrolled 602 patients at elevated risk for post-ERCP pancreatitis in the study. They received either a single dose of the nonsteroidal antiinflammatory drug or placebo immediately after ERCP.

 

Post-ERCP pancreatitis developed in 27 of 295 patients (9.2 percent) in the indomethacin group and in 52 of 307 patients (16.9 percent) in the placebo group. Moderate-to-severe pancreatitis developed in 13 patients (4.4 percent) in the indomethacin group and in 27 patients (8.8 percent) in the placebo group.

 

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