Management and opportunity of operation in obstructive acute biliary pancreatitis
10.3760/cma.j.issn.1673-4203.2011.06.005
- VernacularTitle:梗阻型急性胆源性胰腺炎的治疗方式及手术时机的选择
- Author:
Dacheng TANG
;
Anyi QIAO
;
Xing YANG
;
Yangxi HU
;
Chong WANG
;
Sheng YANG
- Publication Type:Journal Article
- Keywords:
Acute biliary pancreatitis;
Endoscopic therapy;
Timing of operation;
Cholecystectomy
- From:
International Journal of Surgery
2011;38(6):372-375
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the management and timing of operation in obstructive acute biliary pancreatifis.Methods A etrospective review was performed of seventy-six consecutive patients who presented to a single tertiary care institution from 2000 to 2010 with obstructive acute biliary pancreatitis.Results Of the seventy-six patients,thirty-six patients underwent operations,with early(after onset within 2 weeks)operations in twenty cases,delayed operationsin sixteen cases and one case dead,no one experienced recurrent pancreatitis during follow-up.Fifteen patients were treated by endoscopy,ERCP/EST in eleven cases,ERCP/ENBD in one case and ERCP only in three case.All patients were cured,only one patient experienced recurrent pancreatitis.Twenty-five patients received conservative treatment,one patient died,six patients experienced recurrent panereatitis.Conclusions Surgery is essential in the management of acute biliary pancreatitis.In cases of obstructive acute biliary pancreatitis,early operation or endoscopic therapy should be performed to remove biliopancreatic obstruction after aggressive conservative treatment.
