Effect of early endoscopic treatment for patients with severe acute biliary pancreatitis
- VernacularTitle:早期内镜治疗在重症急性胆源性胰腺炎治疗中的作用
- Author:
Yuefeng TANG
;
Yangrong XU
;
Guoqing LIAO
- Publication Type:Journal Article
- Keywords:
Pancreatitis,Acute Necrotizing;
Endoscopes;
Cholangiopancreatography,Endoscopic Retrograde;
Sphincterotomy,Endoscopic;
ENBD
- From:
Chinese Journal of General Surgery
2001;0(07):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the effect of early endoscopic treatment for patients with severe acute biliary pancreatitis.Methods Ninety patients with severe acute biliary pancreatitis were divided into three groups: Thirty patients underwent early endoscopic treatment(group A),30 patients underwent expectant treatment(group B) and 30 patients receive surgical treatment(group C),respectively.complications and safety were evaluated.Results The symptoms and signs disappeared in all 30 cases after early endoscopic treatment.All the 30 patients(100%) of endoscopic treatment(group A) were cured which significantly better than the other groups(group B 83.3% and group C 93.3%,respectively).Conclusions Early endoscopic treatment relieves the orifice obstruction of biliary and pancreatic ducts,decreases the pressure of biliary and pancreatic ducts,it is safe,mini-invasive and highly effective for the treatment of severe acute biliary pancreatitis.
