Analysis of influencing factors of pancreatitis after duodenoscopic common bile duct stone removal surgery
- VernacularTitle:十二指肠镜下胆总管取石术后发生胰腺炎的影响因素分析
- Author:
Wei WANG
1
;
Ming XIA
;
Ling ZHANG
;
Qinghong GUO
Author Information
- Keywords: gallstones; pancreatitis; duodenoscopes; root cause analysis; common bile duct stone surgery
- From: Tianjin Medical Journal 2024;52(12):1305-1307
- CountryChina
- Language:Chinese
- Abstract: Objective To explore the influencing factors of pancreatitis after duodenoscopic common bile duct stone removal surgery(DCBDSR).Methods A total of 387 patients with DCBDSR were included in this study.Patients were divided into the pancreatitis group(36 cases)and the non-pancreatitis group(351 cases).General data and laboratory indexes were compared between the two groups.The influencing factors of postoperative pancreatitis after DCBDSR were analyzed by regression analysis.Results Compared with the non-pancreatitis group,the pancreatitis group had a younger age,a higher proportion of hypertension,hyperlipidemia and pancreatic history,and a higher average number of intubations(P＜0.05).There were no significant differences in gender,body mass index,drinking history,smoking history,diabetes,gallbladder size,number of stones,stone diameter,operation time,number of angiography,aspartate aminotransferase(AST),glutamyl transpeptidase(GTP),alanine aminotransferase(ALT),direct bilirubin(DBIL)and total bilirubin(TBIL)levels between the two groups(P＞0.05).Young age,combined hypertension,concomitant hyperlipidemia,history of pancreatic disease and frequent intubation were independent risk factors for postoperative pancreatitis after DCBDSR.Conclusion Young age,concomitant hypertension,concomitant hyperlipidemia,history of pancreatic disease and frequent intubation are risk factors for developing pancreatitis after DCBDSR.
