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47,48 Iatrogenic injury is another recognized contributor, most commonly following manipulation of the ampulla or pancreatic duct during procedures such as endoscopic retrograde cholangiopancreatography (ERCP), which carries an estimated risk of 10%, 49 or more rarely after EUS, with a risk of less than 1%

Proactive hydration practices prevent this cascade entirely

Where possible, this means short, gentle walks with assistance from the ward nursing team

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You can use a medication cooler bag specifically designed for carrying medications