A prospective study of early complications in endoscopic pancreatic sphincterotomy
10.3760/cma.j.issn.1007-5232.2009.01.008
- VernacularTitle:内镜下胰管括约肌切开术后早期并发症的前瞻性研究
- Author:
Peng WANG
;
Wei ZHANG
;
Feng LIU
;
Xingang SHI
;
Duowu ZOU
;
Zhendong JIN
;
Zhaoshen LI
- Publication Type:Journal Article
- Keywords:
Cholangiopancreatography,endoscopic retrograde;
Sphincterotomy,endoscopic;
Postoperative complications;
Pancreatitis
- From:
Chinese Journal of Digestive Endoscopy
2009;26(1):23-27
- CountryChina
- Language:Chinese
-
Abstract:
objective To investigate the rate and risk factors of early complications after endoscopic pancreatic sphincterotomy.Methods Data of patients,who underwent endoscopic pancreatic sphincterotomy from May 2006 to April 2007,were recorded before and during the procedure and prospectively studied.The Datients were followed up until discharge.Results A total of 165 patients underwent endoscopic pancreatic sphincterotomy,of which 25(15.2%)developed complications,including acute pancreatitis in 22(13.3%)(15 mild,6 moderate and 1 severe),hemorrhage in 1(0.6%),and acute cholangitis in 2(1.2%).There was no perforation or procedure-related mortality.Multivariate analysis indicated that risk factors of acute pancreatitis were female(OR:3.8,95%CI:1.4-10.8),recurrent pancreatitis(OR:3.1,95%CI:1.0-9.9),and parapapilla sphincterotomy(OR:5.9,95%CI:1.2-28.8).Conclusion Compared with routine ERCP,endoscopic pancreatic sphincterotomy may be associated with higher risk of acute pancreatitis,especiallv in women.patients with recurrent pancreatitis and those undergoing parapapilla sphincterotomy.
