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.

StudyComparisonNumber of patientsSeverity of post-ERCP pancreatitisSerum amylase (IU/L) 2 h after ERCP (mean ± SD)Serum amylase (IU/L) 4 h after ERCP (mean ± SD)
Incidence of post-ERCP pancreatitisMildModerate to severe

Andrade-Dávila et al. [15]Indomethacin824/8231141.90 ± 92.60NA
Placebo8417/84143216.50 ± 105.20NA
Döbrönte et al. [6]Indomethacin34720/347164NANA
Placebo31822/318184NANA
Elmunzer et al. [10]Indomethacin29527/2951413NANA
Placebo30752/3072527NANA
Khoshbaten et al. [11]Diclofenac502/50NANA310.28 ± 320.61342.22 ± 331.65
Placebo5013/50NANA667.80 ± 1034.15948.86 ± 1296.69
Levenick et al. [8]Indomethacin22316/223160NANA
Placebo22611/22692NANA
Montaño et al. [16]Indomethacin754/7540148.22 ± 190.60NA
Placebo7512/75120240.73 ± 256.20NA
Murray et al. [12]Diclofenac1107/11070313.00 ± 398.54321.00 ± 597.82
Placebo11017/110152400.00 ± 702.70507.00 ± 943.92
Otsuka et al. [13]Diclofenac512/5120NANA
Placebo5310/5373NANA
Patai et al. [17]Indomethacin27018/270153NANA
Placebo26937/269334NANA
Shafique et al. [14]Diclofenac549/54NANANANA
Placebo5422/54NANANANA
Sotoudehmanesh et al. [18]Indomethacin2217/22170472.70 ± 910.40NA
Placebo22115/221105494.30 ± 694.10NA

NSAIDs: nonsteroidal anti-inflammatory drugs; ERCP: endoscopic retrograde cholangiopancreatography; SD: standard deviation; NA: not available.