Acute Pancreatitis
Conditions
Brief summary
To determine if the timing of administration of indomethacin affects the primary outcome of post-ERCP pancreatitis (PEP). Patients undergoing ERCP will be randomly assigned to receive pre or post-procedure rectal indomethacin to prevent the occurrence of PEP.
Interventions
Patients will receive rectal indomethacin suppository 30 minutes before or immediately after ERCP for prevention of post-procedure pancreatitis. Patients will be randomized to the timing of administration.
Sponsors
Study design
Eligibility
Inclusion criteria
* All patients referred for ERCP at the University of Alberta * Age greater than 18 years * Ability to provide written informed consent
Exclusion criteria
* Acute pancreatitis * Active peptic ulcer disease * Rectal disease * Aspirin-induced asthma * Nonsteroidal anti-inflammatory drug (NSAIDs) induced hypersensitivity * Pregnancy * Breast feeding * Creatinine clearance \< 30 ml/min
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Rate of Post-ERCP pancreatitis | 30 days |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Severity of Post-ERCP pancreatitis | 30 days | To evaluate the severity of post-ERCP pancreatitis between the 2 groups studied |
Countries
Canada