Randomized placebo controlled study of diclofenac as premedication for endoscopic retrograde cholangiopancreatography

Authors

  • Darshan Vinod Parekh Department of General Surgery, LTMMC and LTMGH, Sion, Mumbai, Maharashtra, India
  • Samir Rambhia Department of General Surgery, LTMMC and LTMGH, Sion, Mumbai, Maharashtra, India
  • Mohan A. Joshi Department of General Surgery, LTMMC and LTMGH, Sion, Mumbai, Maharashtra, India
  • Vineet Kumar Department of General Surgery, LTMMC and LTMGH, Sion, Mumbai, Maharashtra, India
  • Vishwajeet Pawar Department of General Surgery, LTMMC and LTMGH, Sion, Mumbai, Maharashtra, India
  • Monika J. Pohekar Department of General Surgery, LTMMC and LTMGH, Sion, Mumbai, Maharashtra, India
  • Rohit Deshpande Department of General Surgery, LTMMC and LTMGH, Sion, Mumbai, Maharashtra, India

DOI:

https://doi.org/10.18203/2349-2902.isj20200813

Keywords:

Diclofenac, Endoscopic retrograde cholangiopancreatography, Premedication

Abstract

Background: Endoscopic retrograde cholangiopancreatography (ERCP) is a complex procedure which is commonly performed at various centres. It causes considerable amount of pain and discomfort to patients, and various centres have their own protocols regarding its management. Authors aim to study the efficacy of intravenous diclofenac as a premedication to reduce the pain and discomfort during and after ERCP.

Methods: This was a randomized placebo-controlled trial evaluating 40 patients. The pain and degree of discomfort was investigated using a 4- point ordinal scale questionnaire.

Results: The use of intravenous diclofenac as premedication for ERCP significantly reduces pain and discomfort during and after the procedure.

Conclusions: Intravenous diclofenac should be used as a premedication for ERCP procedure as it significantly reduces the pain and discomfort during and after the procedure.

Author Biography

Darshan Vinod Parekh, Department of General Surgery, LTMMC and LTMGH, Sion, Mumbai, Maharashtra, India

Senior Registrar

Dept. of General Surgery

References

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Published

2020-02-26

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Original Research Articles