Endoscopic managements in pain of chronic pancreatitis
- VernacularTitle:疼痛性慢性胰腺炎的内镜介入疗效
- Author:
Zhaoshen LI
;
Wei WANG
;
Zhuan LIAO
;
Duowu ZOU
;
Zhendong JIN
;
Yuanhang DONG
;
Feng LIU
;
Luowei WANG
;
Xingang SHI
;
Renpei WU
;
Guoming XU
- Publication Type:Journal Article
- Keywords:
Pancreatitis,chronic;
Abdominal pain;
Endoscopy;
Interventional
- From:
Chinese Journal of Digestive Endoscopy
2008;25(6):295-298
- CountryChina
- Language:Chinese
-
Abstract:
Objective To determine the efficacy of therapeutic endoscopic retrograde cholangio-pan-creatography (ERCP) in treatment of pain of chronic pancreatitis (CP). Methods The data of CP patients accompanying with pain, who received therapeutic ERCP from 1997 to 2006, were retrospectively analyzed.The diagnosis of CP was made based on the criteria from 2002 Asia-Pacific Consensus, and the effect of ther-apy was evaluated. Results Of 253 patients who received therapeutic ERCP, follow-up data were obtained from 214 patients ( 144 males and 70 females, ages ranging from 6.5 to 78.0 years, mean age 40. 5 years).The mean follow-up period was 41.9 months (12～131 months). Twenty-eight patients (13. 1% ) under-went surgery after ERCP. Relief rates of pain in patients who underwent ERCP with or without operation were 71.4% and 83.9% (P >0. 05 ) respectively. The overall relief rate of ERCP was 73%. The incidence of major complications related to the procedure was 14.9% (71/476) in terms of ERCP sessions, including post-ERCP pancreatitis in 12. 6%, mild cholangitis in 2. 1% and hemorrhage in 0. 2%. All complications sub-sided with conservative medical managements in 2 to 20 days. No perforation or death related to the procedure occurred. Conclusion Therapeutic ERCP is a mean of effective management of pain in patients with CP.
