{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,8]],"date-time":"2026-06-08T14:10:32Z","timestamp":1780927832514,"version":"3.54.1"},"reference-count":37,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2017,11,27]]},"abstract":"<jats:p>Acute pancreatitis is a well-recognised complication of endoscopic procedures like endoscopic retrograde cholangiopancreatography but not oesophagogastroduodenoscopy (OGD). I report a case of a 33-year-old woman, admitted with severe epigastric pain and vomiting 2\u2009hours after an elective OGD for evaluation of chronic gastrointestinal symptoms. Pancreatitis was diagnosed on the basis of elevated lipase (40\u2009790\u2009U\/L; normal 11\u201382) and findings on imaging studies. Other common causes of acute pancreatitis such as gallstones, alcohol and medications were ruled out. She had an extended hospital course because of severe disease, characterised by systemic inflammatory response syndrome, pleural effusion and ascites but was successfully managed conservatively with bowel rest, hydration and pain management. Acute pancreatitis should be considered a rare complication of OGD and should be considered in differential diagnosis for abdominal pain post OGD. Pathogenesis is likely from direct trauma to pancreas or gas insufflation.<\/jats:p>","DOI":"10.1136\/bcr-2017-222272","type":"journal-article","created":{"date-parts":[[2017,12,8]],"date-time":"2017-12-08T05:20:09Z","timestamp":1512710409000},"page":"bcr-2017-222272","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":6,"title":["Acute pancreatitis following oesophagogastroduodenoscopy."],"prefix":"10.1136","volume":"2017","author":[{"given":"Nnamdi Arinze","family":"Nwafo","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2017,12,7]]},"reference":[{"key":"2025042713132273000_2017.dec07_1.bcr-2017-222272.1","unstructured":"Sarles H . Pancreatitis symposium. Marseille: Basel SK, 1963."},{"key":"2025042713132273000_2017.dec07_1.bcr-2017-222272.2","doi-asserted-by":"crossref","first-page":"683","DOI":"10.1016\/0016-5085(85)90468-8","article-title":"Revised classification of pancreatitis. Report of the Second International Symposium on the Classification of Pancreatitis in Marseille, France, March 28\u201330, 1984","volume":"89","author":"Singer","year":"1985","journal-title":"Gastroenterology"},{"key":"2025042713132273000_2017.dec07_1.bcr-2017-222272.3","unstructured":"Vege SS . UpToDate In: . Grover S , Etiology of acute pancreatitis. Waltham, MA: UpToDate, 2015."},{"key":"2025042713132273000_2017.dec07_1.bcr-2017-222272.4","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.332.7549.1072"},{"key":"2025042713132273000_2017.dec07_1.bcr-2017-222272.5","doi-asserted-by":"crossref","first-page":"2142","DOI":"10.1056\/NEJMcp054958","article-title":"Acute pancreatitis","volume":"354","author":"Whitcomb","year":"2006","journal-title":"N Engl J Med Overseas Ed"},{"key":"2025042713132273000_2017.dec07_1.bcr-2017-222272.6","doi-asserted-by":"publisher","DOI":"10.1053\/j.gastro.2007.03.065"},{"key":"2025042713132273000_2017.dec07_1.bcr-2017-222272.7","doi-asserted-by":"crossref","first-page":"229","DOI":"10.1055\/s-2007-1010734","article-title":"Complications of diagnostic gastrointestinal endoscopy","volume":"22","author":"Hart","year":"1990","journal-title":"Endoscopy"},{"key":"2025042713132273000_2017.dec07_1.bcr-2017-222272.8","doi-asserted-by":"publisher","DOI":"10.1016\/j.cgh.2009.07.005"},{"key":"2025042713132273000_2017.dec07_1.bcr-2017-222272.9","doi-asserted-by":"publisher","DOI":"10.1055\/s-0030-1256249"},{"key":"2025042713132273000_2017.dec07_1.bcr-2017-222272.10","doi-asserted-by":"publisher","DOI":"10.1055\/s-2007-963719"},{"key":"2025042713132273000_2017.dec07_1.bcr-2017-222272.11","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2011.03.1239"},{"key":"2025042713132273000_2017.dec07_1.bcr-2017-222272.12","doi-asserted-by":"publisher","DOI":"10.1055\/s-2005-921179"},{"issue":"Suppl 2","key":"2025042713132273000_2017.dec07_1.bcr-2017-222272.13","doi-asserted-by":"crossref","first-page":"E324","DOI":"10.1055\/s-0029-1215002","article-title":"Acute pancreatitis: rare complication of retrograde single-balloon enteroscopy","volume":"41","author":"Yip","year":"2009","journal-title":"Endoscopy"},{"key":"2025042713132273000_2017.dec07_1.bcr-2017-222272.14","unstructured":"Cohen J , Greenwald DA . Grover S , Overview of upper gastrointestinal endoscopy. Waltham, MA: UpToDate, 2015. (accessed July 2017)."},{"key":"2025042713132273000_2017.dec07_1.bcr-2017-222272.15","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2012.03.252"},{"key":"2025042713132273000_2017.dec07_1.bcr-2017-222272.16","first-page":"936","article-title":"The effect of UGI endoscopy on serum amylase","volume":"68","author":"Lifton","year":"1975","journal-title":"Gastroenterology"},{"key":"2025042713132273000_2017.dec07_1.bcr-2017-222272.17","doi-asserted-by":"crossref","first-page":"133","DOI":"10.1055\/s-0028-1098338","article-title":"Changes in serum isoamylase activities after fibergastroduodenoscopy and colonoscopy. Isoamylase after FGDS and FCS","volume":"11","author":"Kobayashi","year":"1979","journal-title":"Endoscopy"},{"key":"2025042713132273000_2017.dec07_1.bcr-2017-222272.18","doi-asserted-by":"publisher","DOI":"10.1016\/S0016-5107(73)73873-6"},{"key":"2025042713132273000_2017.dec07_1.bcr-2017-222272.19","doi-asserted-by":"crossref","first-page":"105","DOI":"10.1055\/s-2007-1021593","article-title":"Acute pancreatitis following gastrointestinal endoscopy without ampullary cannulation","volume":"14","author":"Deschamps","year":"1982","journal-title":"Endoscopy"},{"key":"2025042713132273000_2017.dec07_1.bcr-2017-222272.20","first-page":"41","article-title":"Acute pancreatitis after upper endoscopy","volume":"3","author":"Wu","year":"2016","journal-title":"Case Rep Intern Med"},{"key":"2025042713132273000_2017.dec07_1.bcr-2017-222272.21","first-page":"20","article-title":"[Acute pancreatitis as a complication of diagnostic gastroduodenal endoscopy at 10 years old girl\u2013case report]","volume":"24","author":"Iwa\u0144czak","year":"2008","journal-title":"Pol Merkur Lekarski"},{"key":"2025042713132273000_2017.dec07_1.bcr-2017-222272.22","unstructured":"Jabr FI , Doctor Quest. Acute pancreatitis after upper endoscopy. http:\/\/www.questdoc.com\/acutepancreatitis.htm"},{"key":"2025042713132273000_2017.dec07_1.bcr-2017-222272.23","doi-asserted-by":"crossref","first-page":"94","DOI":"10.1097\/00004836-200201000-00019","article-title":"Acute pancreatitis after gastrointestinal endoscopy","volume":"34","author":"Nevins","year":"2002","journal-title":"J Clin Gastroenterol"},{"key":"2025042713132273000_2017.dec07_1.bcr-2017-222272.24","doi-asserted-by":"crossref","first-page":"551","DOI":"10.1155\/2009\/357059","article-title":"Acute pancreatitis and ileus post colonoscopy","volume":"23","author":"Ko","year":"2009","journal-title":"Can J Gastroenterol"},{"key":"2025042713132273000_2017.dec07_1.bcr-2017-222272.25","doi-asserted-by":"crossref","first-page":"E221","DOI":"10.1055\/s-0029-1214967","article-title":"Postcolonic polypectomy pancreatitis","volume":"42 Suppl 2","author":"Fortea","year":"2010","journal-title":"Endoscopy"},{"key":"2025042713132273000_2017.dec07_1.bcr-2017-222272.26","doi-asserted-by":"crossref","first-page":"E515","DOI":"10.1055\/s-0034-1377379","article-title":"Postcolonoscopy pancreatitis","volume":"46","author":"Shekhar","year":"2014","journal-title":"Endoscopy"},{"key":"2025042713132273000_2017.dec07_1.bcr-2017-222272.27","doi-asserted-by":"publisher","DOI":"10.1097\/00004836-199409000-00024"},{"key":"2025042713132273000_2017.dec07_1.bcr-2017-222272.28","first-page":"74","article-title":"Colonoscopy\u2013a rare cause of pancreatitis","volume":"124","author":"Khashram","year":"2011","journal-title":"N Z Med J"},{"key":"2025042713132273000_2017.dec07_1.bcr-2017-222272.29","doi-asserted-by":"crossref","first-page":"450","DOI":"10.5152\/tjg.2015.0427","article-title":"Acute pancreatitis following adult liver transplantation: a systematic review","volume":"26","author":"Danal\u0131o\u011flu","year":"2015","journal-title":"Turk J Gastroenterol"},{"key":"2025042713132273000_2017.dec07_1.bcr-2017-222272.30","doi-asserted-by":"publisher","DOI":"10.1007\/BF00366703"},{"key":"2025042713132273000_2017.dec07_1.bcr-2017-222272.31","doi-asserted-by":"crossref","first-page":"126","DOI":"10.1111\/j.1399-0012.1992.tb00603.x","article-title":"Pancreatic complications following orthotopic liver transplantation","volume":"6","author":"Yanaga","year":"1992","journal-title":"Clin Transplant"},{"key":"2025042713132273000_2017.dec07_1.bcr-2017-222272.32","doi-asserted-by":"crossref","first-page":"1062","DOI":"10.1097\/00007890-198806000-00012","article-title":"Pancreatitis following liver transplantation","volume":"45","author":"Alexander","year":"1988","journal-title":"Transplantation"},{"key":"2025042713132273000_2017.dec07_1.bcr-2017-222272.33","doi-asserted-by":"crossref","first-page":"162","DOI":"10.1016\/j.amsu.2015.04.021","article-title":"Complications and mortality after adult to adult living donor liver transplantation: A retrospective cohort study","volume":"4","author":"Gad","year":"2015","journal-title":"Ann Med Surg"},{"issue":"6 Suppl 2","key":"2025042713132273000_2017.dec07_1.bcr-2017-222272.34","doi-asserted-by":"crossref","first-page":"s73","DOI":"10.1053\/jlts.2000.18686","article-title":"Long-term complications of living donor liver transplantation","volume":"6","author":"Renz","year":"2000","journal-title":"Liver Transpl"},{"key":"2025042713132273000_2017.dec07_1.bcr-2017-222272.35","doi-asserted-by":"publisher","DOI":"10.1097\/01.TP.0000046534.45645.47"},{"key":"2025042713132273000_2017.dec07_1.bcr-2017-222272.36","doi-asserted-by":"crossref","first-page":"1856","DOI":"10.4254\/wjh.v7.i14.1856","article-title":"Spectrum of biliary complications following live donor liver transplantation","volume":"7","author":"Simoes","year":"2015","journal-title":"World J Hepatol"},{"key":"2025042713132273000_2017.dec07_1.bcr-2017-222272.37","doi-asserted-by":"publisher","DOI":"10.1002\/lt.22381"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2017-222272","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T20:13:30Z","timestamp":1745784810000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2017-222272"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,12,7]]},"references-count":37,"alternative-id":["10.1136\/bcr-2017-222272"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2017-222272","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,12,7]]}}}