Skip to main content
. 2007 Feb 12;7:6. doi: 10.1186/1471-230X-7-6

Table 1.

Randomized controlled trials on the use of gabexate for the prevention of pancreatic injury after ERCP

Reference Setting Sample size Patient inclusion criteria Interventions Outcomes Allocation concealment
[4] Italy multicentre 418 Patients over 18 years of age who were scheduled to undergo ERCP and, when indicated, endoscopic sphincterotomy Gabexate 1 g given by intravenous infusion starting 30 to 90 minutes before endoscopy and continuing for 12 hours afterward The incidence of PEP, post-ERCP hyperamylasemia, post-ERCP abdominal pain, case-fatality ratio of PEP Adequate
[9] Italy multicentre 396 Patients over 18 years of age who were scheduled to undergo ERCP and, when indicated, endoscopic sphincterotomy with one of the following "high risk" factors:
1) a non-dilated (< 8 mm in diameter) bile duct on pre-ERCP US
2) a history of gallstone-induced or post-ERCP pancreatitis
3) suspected sphincter of Oddi dysfunction
Gabexate 500 mg given by intravenous infusion starting 30 minutes before endoscopy and continuing for 2 hours afterward The incidence of PEP, severe PEP, post-ERCP hyperamylasemia, post-ERCP abdominal pain Adequate
[8] Italy multicentre 776 Patients over 18 years of age who were scheduled to undergo ERCP and, when indicated, endoscopic sphincterotomy Gabexate 500 mg given by intravenous infusion starting 30 before endoscopy and continuing for 6 hours afterward The incidence of PEP, severe PEP, post-ERCP hyperamylasemia, post-ERCP abdominal pain, case-fatality ratio of PEP Adequate
[7] China single centre 193 Patients over 18 years of age who were scheduled to undergo ERCP and, when indicated, endoscopic sphincterotomy Gabexate 300 mg given by intravenous infusion starting 30 before endoscopy and continuing for 4.5 hours afterward The incidence of PEP, post-ERCP hyperamylasemia, post-ERCP abdominal pain Adequate