Studies comparing aggressive hydration with lactate Ringer plus indomethacin: results

Author (country, year) [ref]PEP (%) (experimental vs. control arm)Severe PEP (%)Hyperamylasemia (%)Isolated pancreatic pain (%)Fluid overloadOthers SAE (serious adverse events between groups)Pancreatic stent (%)
Mok et al. (USA, 2017) [47]6 vs. 21 vs. 13 vs. 190 vs. 0 vs. 2 vs. 0NANAOnly 1 patient in NSS + placebo groupNone21 vs. 31 vs. 25 vs. 31
Hajalikhani et al. (Iran, 2018) [48]0.9 vs. 2.7 (p = 0.622)No severe PEP in the groups0.9 vs. 3.6 (p = 0.369)NANANA2.8 vs. 2.7
Thanage et al. (India, 2021) [49]10.5 vs. 15.7 vs. 14.01 patient in diclofenac groupNANA2 pts in LR + diclofenac arm
1 in LR arm
NA10.5 vs. 7 vs. 3.5
Boal Carvalho et al. (Portugal, 2022) [50]3.6 vs. 13.9 (p = 0.021)0 vs. 6.9 (p = 0.020)4.5 vs. 10.3NANoneNone16.9 vs. 16.7
Sperna Weiland et al. (Netherlands, 2021) [51]8 vs. 9 (p = 0.53)5 vs. 8 (p = 0.23)°, 1 vs. 2 (p = 0.089)§NANA8 pts in experimental arm, 9 in control armNone6 vs. 6

§ Atlanta Criteria; °: Cotton Criteria; LR: lactated Ringer’s; NA: not available; NSS: normal saline solution; PEP: post-ERCP acute pancreatitis; pts: patients