Review Article
Use of NSAIDs via the Rectal Route for the Prevention of Pancreatitis after ERCP in All-Risk Patients: An Updated Meta-Analysis
Table 2
Outcome data of studies included in the meta-analysis.
| Study | Comparison | Number of patients | Severity of post-ERCP pancreatitis | Serum amylase (IU/L) 2 h after ERCP (mean ± SD) | Serum amylase (IU/L) 4 h after ERCP (mean ± SD) | Incidence of post-ERCP pancreatitis | Mild | Moderate to severe |
| Andrade-Dávila et al. [15] | Indomethacin | 82 | 4/82 | 3 | 1 | 141.90 ± 92.60 | NA | Placebo | 84 | 17/84 | 14 | 3 | 216.50 ± 105.20 | NA | Döbrönte et al. [6] | Indomethacin | 347 | 20/347 | 16 | 4 | NA | NA | Placebo | 318 | 22/318 | 18 | 4 | NA | NA | Elmunzer et al. [10] | Indomethacin | 295 | 27/295 | 14 | 13 | NA | NA | Placebo | 307 | 52/307 | 25 | 27 | NA | NA | Khoshbaten et al. [11] | Diclofenac | 50 | 2/50 | NA | NA | 310.28 ± 320.61 | 342.22 ± 331.65 | Placebo | 50 | 13/50 | NA | NA | 667.80 ± 1034.15 | 948.86 ± 1296.69 | Levenick et al. [8] | Indomethacin | 223 | 16/223 | 16 | 0 | NA | NA | Placebo | 226 | 11/226 | 9 | 2 | NA | NA | Montaño et al. [16] | Indomethacin | 75 | 4/75 | 4 | 0 | 148.22 ± 190.60 | NA | Placebo | 75 | 12/75 | 12 | 0 | 240.73 ± 256.20 | NA | Murray et al. [12] | Diclofenac | 110 | 7/110 | 7 | 0 | 313.00 ± 398.54 | 321.00 ± 597.82 | Placebo | 110 | 17/110 | 15 | 2 | 400.00 ± 702.70 | 507.00 ± 943.92 | Otsuka et al. [13] | Diclofenac | 51 | 2/51 | 2 | 0 | NA | NA | Placebo | 53 | 10/53 | 7 | 3 | NA | NA | Patai et al. [17] | Indomethacin | 270 | 18/270 | 15 | 3 | NA | NA | Placebo | 269 | 37/269 | 33 | 4 | NA | NA | Shafique et al. [14] | Diclofenac | 54 | 9/54 | NA | NA | NA | NA | Placebo | 54 | 22/54 | NA | NA | NA | NA | Sotoudehmanesh et al. [18] | Indomethacin | 221 | 7/221 | 7 | 0 | 472.70 ± 910.40 | NA | Placebo | 221 | 15/221 | 10 | 5 | 494.30 ± 694.10 | NA |
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NSAIDs: nonsteroidal anti-inflammatory drugs; ERCP: endoscopic retrograde cholangiopancreatography; SD: standard deviation; NA: not available.
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