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It is strongly suggested to utilize additional potential, randomized, controlled clinical trials to evaluate the effectiveness and protection of pancreatic duct decompression via ERCP for acute pancreatitis.The purpose of the study would be to methodically search the literature and analyze proof from randomized managed trials (RCTs) comparing tolvaptan with main-stream diuretics for postoperative fluid management in cardiac surgery customers. An electric search of PubMed, Scopus, BioMed Central, CENTRAL (Cochrane