Cui JH, Xu K, Zhao CJ, Chen L. Safety and efficacy of early endoscopic retrograde cholangiopancreatography in treatment of acute biliary pancreatitis.
Shijie Huaren Xiaohua Zazhi 2013;
21:3571-3575. [DOI:
10.11569/wcjd.v21.i32.3571]
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Abstract
AIM: To evaluate the safety and efficacy of early endoscopic retrograde cholangiopancreatography (ERCP) in treatment of acute biliary pancreatitis.
METHODS: One hundred and five patients with acute biliary pancreatitis treated at our hospital from January 2008 to December 2012 were randomly divided into either a control group (n = 52) or a test group (n = 53). The control group underwent conventional basic treatment, and the test group underwent early ERCP. APACHEII score and Ranson score were recorded. Inflammatory factors were detected. Postoperative morbidity and mortality were compared.
RESULTS: The APACHEII score and Ranson score after admission were significantly lower in the test group than in the control group (6.4 ± 2.1 vs 9.8 ± 3.8, 2.1 ± 0.9 vs 2.6 ± 1.1, both P < 0.05). The levels of inflammatory factors after treatment were also significantly lower in the test group than in the control group (TNF-α: 55.6 μg/L ± 16.8 μg/L vs 230.4 μg/L ± 33.1 μg/L; CRP: 7.6 mg/dL ± 2.5 mg/dL vs 11.1 mg/dL ±2.7 mg/dL, both P < 0.05). The times required for serum amylase to return to normal, relief of abdominal pain, recovery of liver function and hospital stay were significantly lower in the test group than in the control group (8.2 d ± 2.2 d vs 11.8 d ± 4.2 d, 7.2 d ± 2.4 d vs 11.2 d ± 3.1 d, 12.6 d ± 4.4 d vs 23.4 d ± 6.1 d, 16.6 d ± 4.8 d vs 24.5 d ± 6.7 d, all P < 0.05). The rate of postoperative complications was significantly lower in the test group than in the control group (9.43% vs 25.00%, P < 0.05).
CONCLUSION: Early ERCP is safe and effective in the treatment of acute biliary pancreatitis.
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