A prospective study of pancreatic duct stent in preventing post-ERCP pancreatitis of difficult bile duct cannulation
10.3760/cma.j.issn.1007-5232.2014.07.010
- VernacularTitle:胰管支架预防困难胆管插管ERCP术后急性胰腺炎的前瞻性研究
- Author:
Yunhong LI
;
Yuling YAO
;
Qibin HE
;
Jun CAO
;
Han WU
;
Yulin WU
;
Xiaoping ZOU
- Publication Type:Journal Article
- Keywords:
Cholangiopancreatography,endoscopic retrograde;
Pancreatic duct stent;
Post-ERCP pancreatitis
- From:
Chinese Journal of Digestive Endoscopy
2014;31(7):403-406
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the efficacy of pancreatic duct stent in preventing post-ERCP pancreatitis (PEP) of difficult bile duct cannulation.Methods A total of 120 patients who underwent difficult bile duct cannulation during routine ERCP were randomized to receive pancreatic duct stent placement (S group) or not (NS group),and the incidence of PEP,hyperamylasemia and scores of abdominal pain were analyzed.Results There were 15 cases of hyperamylasemia and 5 cases of PEP occurred in S group,but no severe PEP was observed.The score of abdominal pain was (3.82 ± 1.48) in S group.There were 18cases of hyperamylasemia and 14 cases of PEP occurred,including 2 severe PEP in NS group.The score of abdominal pain was (7.48 ± 1.93) in NS group.There was no significant difference in the incidence of hyperamylasemia between the two groups (P ＞ 0.05).The incidence of PEP,severe PEP and the scores of abdominal pain were lower in the S group (P ＜ 0.05).Conclusion Placement of pancreatic duct stent can reduce the PEP rate of difficult bile duct cannulation and relieve the abdominal pain.
