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. 2015 Aug 25;7(11):1023–1031. doi: 10.4253/wjge.v7.i11.1023

Table 2.

Indication of endoscopic retrograde pancreatography based on the opinion of Hungarian experts

Indicated Slightly indicated Not indicated Description
Pancreas divisum 83.6% 16.7% 0% During therapeutic intervention
Acute pancreatitis 16.7% 50% 33.3% Recurrent "idiopathic" acute pancreatitis
Chronic pancreatitis 83.3% 16.7% 0% Complicated chronic pancreatitis (MPD stricture, pancreatic duct stones, chronic abdominal pain, obstructive jaundice)
Autoimmune pancreatitis 66.7% 33.3% 0% Suspicion of autoimmune pancreatitis which has not identified by noninvasive imaging techniques
Pancreatic neoplasia 0% 50% 50% Suspicion of pancreatic neoplasia with obstructive jaundice
Pancreatic cystic neoplasia 0% 16.7% 83.3% In case of IPMN ERP associated with high risk of complications Pancreatic cysts and pseudocysts generally do not communicate with the pancreatic duct therefore the ERP cannot identify them
Pancreatic injury 100% 0% 0% Suspicion of pancreatic ductal injury in stable patients Suspicion of pancreatic fistula Suspicion of fistula formation
Postoperative pancreatic fistula 100% 0% 0%

ERP: Endoscopic pancreatography; MDP: Main pancreatic duct; IPMN: Intraductal papillary mucinous neoplasms.