2021
DOI: 10.7759/cureus.13724
|View full text |Cite
|
Sign up to set email alerts
|

Role of SCO-792, A Novel Enteropeptidase Inhibitor, In the Prevention of Post-Endoscopic Retrograde Cholangiopancreatography Pancreatitis

Abstract: Acute pancreatitis is the most common iatrogenic dilemma of endoscopic retrograde cholangiopancreatography, and it is associated with significant morbidity and mortality. Several factors have been implicated in the pathogenesis of post-endoscopic retrograde cholangiopancreatography pancreatitis, and preventive measures were practiced accordingly. This study aims to refine the potential mechanisms that trigger post-endoscopic retrograde cholangiopancreatography pancreatitis and define the role of enteropeptidas… Show more

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...
2
1

Citation Types

0
4
0

Year Published

2022
2022
2022
2022

Publication Types

Select...
3
1

Relationship

0
4

Authors

Journals

citations
Cited by 4 publications
(4 citation statements)
references
References 31 publications
0
4
0
Order By: Relevance
“…The reflux of EP into the gland could trigger the inappropriate activation of the stored zymogens, which may be associated with acute necrotizing pancreatitis ( 5 ). Additionally, endoscopic retrograde cholangiopancreatography (ERCP) will interject duodenal juice that rich in EP, into the pancreatic-biliary tract, which causes inappropriately activation of trypsinogen, thereby initiating acute pancreatitis ( 65 ). However, all the above studies are based on increasing EP in the intestinal or pancreatic-biliary tract and absence of clinical evidence that EP activates trypsinogen in situ in the pancreas.…”
Section: Discussionmentioning
confidence: 99%
“…The reflux of EP into the gland could trigger the inappropriate activation of the stored zymogens, which may be associated with acute necrotizing pancreatitis ( 5 ). Additionally, endoscopic retrograde cholangiopancreatography (ERCP) will interject duodenal juice that rich in EP, into the pancreatic-biliary tract, which causes inappropriately activation of trypsinogen, thereby initiating acute pancreatitis ( 65 ). However, all the above studies are based on increasing EP in the intestinal or pancreatic-biliary tract and absence of clinical evidence that EP activates trypsinogen in situ in the pancreas.…”
Section: Discussionmentioning
confidence: 99%
“…Furthermore, duodenopancreatic reflux of activated EP can trigger the pancreatic enzyme cascade, leading to acute necrotizing pancreatitis 2,[16][17][18][19] . Additionally, translocation of EP into the pancreatic-biliary tract has been shown to associated with pancreatitis 20 . Therefore, EP has attracted intense interests as a drug target 10,21,22 .…”
Section: Introductionmentioning
confidence: 99%
“…Enteropeptidase inhibition may prevent and lessen the severity of postendoscopic retrograde cholangiopancreatography pancreatitis because enterokinase plays a crucial role in the pathophysiology of pancreatitis. 13 There have only been 13 cases of enterokinase insufficiency recorded since it was originally characterized in 1969. Vomiting, diarrhoea, hypoproteinemia, and failure to thrive were among the persistent symptoms.…”
Section: Introductionmentioning
confidence: 99%