In patients with high-risk cannulation patterns despite rectal NSAIDs, what procedural threshold prompts you to place a prophylactic pancreatic duct stent?

What prompts you to place a pancreatic duct stent for prophylaxis in addition to rectal NSAIDs?

• Number of canulation attempts (>5-8)?)
• Inadvertent PD entry once
• Inadvertent PD entry multiple times
• Pre-cut Sphincterotomy
• Pancreatic Sphincterotomy
• Endoscopic Papillary Balloon Dilation (EPBD)
• High risk anatomy
• Other