Clinical Analysis of Endoscopic Nasobiliary Drainage on the Prevention of Hyperamylasemia and Pancreatitis after En-doscopic Retrograde Cholangiopancreatography
- VernacularTitle:鼻胆管引流对内镜逆行胰胆管造影术后高淀粉酶血症及胰腺炎的预防结果
- Author:
Weijun WANG
1
;
Jianjun DAI
;
Jianqing QIAN
;
Lian-Sheng XU
Author Information
1. 江苏省常熟市第一人民医院消化内科
- Keywords:
Nasobiliary drainage;
Endoscopic retrograde cholangiopancreatography;
Hyperamylasemia;
Pancreatitis
- From:
Chinese Journal of Clinical Medicine
2014;(5):556-557
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To observe the clinical effect of endoscopic nasobiliary drainage on the prevention of hyperamylasemia and pancreatitis after endoscopic retrograde cholangiopancreatography(ERCP).Methods:A total of 120 patients who were go-ing to undergo ERCP were selected as the research object and randomly divided into the control group(n=60)and the experi-mental group(n=60).After ERCP,patients in the control group did not receive endoscopic nasobiliary drainage,and patients in the experimental group received endoscopic nasobiliary drainage.At 3,12,24 h after ERCP,the level of serum amylase was detected,and the incidence rates of hyperamylasemia and pancreatitis in the two groups were compared.Results:There was no significant difference in the gender,age,etc.between the experimental group and the control group(P >0.05).The incidence rate of hyperamylasemia in the experimental group was 10%,significantly lower than that in the control group (26.7%),P <0.01.The incidence rate of pancreatitis in the experimental group was 3.33%,significantly lower than that in the control group (11.67%),P <0.05.The levels of serum amylase in the experimental group were significantly lower than that in the control group at 3,12,24 h after ERCP(P <0.05).Conclusions:Endoscopic nasobiliary drainage given after ERCP can effec-tively reduce the incidence rates of hyperamylasemia and pancreatitis.
