When to Restart Feeding After ERCP?

Four-hour fasting postprocedure was noninferior to 24-hour fasting regarding risk for post-ERCP pancreatitis.

There is widespread disagreement regarding the type and timing of refeeding in patients who undergo endoscopic retrograde cholangiopancreatography (ERCP). Some centers allow early feeding, others suggest clear liquids only until the following day, and some even have patients fast for 24 hours following the procedure.

In the current study, researchers compared development of post-ERCP pancreatitis (PEP) in some 250 patients randomized to 4 or 24 hours of fasting before reinitiation of feeding after ERCP. Participants had no physical or biochemical signs of PEP immediately following ERCP.

PEP developed in three patients (2%) in the 4-hour fasting group and in five patients (4%) in the 24-hour fasting group. Four-hour fasting was noninferior to …

Reviewing Author

Douglas G. Adler, MD, FACG, AGAF, FASGE

Disclosures

Consultant/Advisory BoardBSC; Merit; Olympus

Speaker’s BureauAbbVie

Editorial BoardsGastrointestinal Endoscopy

Douglas G. Adler, MD, FACG, AGAF, FASGE

Disclosures

Consultant/Advisory BoardBSC; Merit; Olympus

Speaker’s BureauAbbVie

Editorial BoardsGastrointestinal Endoscopy

When to Restart Feeding After ERCP?

Topics

Reviewing Author