Analysis on clinical therapeutic effects of endoscopic retrograde cholangiopancreatography for acute biliary pancreatitis
10.3760/cma.j.issn.1674-1935.2019.03.005
- VernacularTitle:内镜下逆行胰胆管造影术治疗急性胆源性胰腺炎的疗效分析
- Author:
Yuye WANG
1
;
Fei GAO
;
Feng GAO
;
Jing WANG
;
Zhen WANG
;
Yuan ZHANG
Author Information
1. 北部战区总医院内窥镜科
- Keywords:
Pancreatitis;
Cholangiopancreatography;
endoscopic retrograde;
Treatment outcome
- From:
Chinese Journal of Pancreatology
2019;19(3):177-180
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical therapeutic effect of endoscopic retrograde cholangiopancreatography(ERCP) for treating acute biliary pancreatitis (ABP). Methods 220 cases with ABP admitted in General Hospital of Northern Theater Command from January 2016 to January 2019 were enrolled. Patients were divided into endoscopy group (n=107) and non-endoscopy group (control group n=113) based on the different treatments. Blood WBC, amylase (AmyL), TBiL and ALT levels were recorded before, 1 day and 3 days after treatment. Time of abdominal pain and distention alleviation, length of stay and cost of hospitalization were compared between two groups. Results AmyL levels 1 day and 3 days after treatment in endoscopy group was significantly lower than that before treatment [( 197. 45 ± 149. 36 ), (67.39 ±42.30)U/L vs (394.45 ±582.33)U/L], and the difference was statistically different(P<0.05), but AmyL in control group was not greatly different before and after ERCP. ALT level 3 days after treatment in endoscopy and control group was significantly lower than that before treatment [(60. 94 ± 62. 44) U/L vs (162.07 ±62.53) U/L, (46.96 ± 46.75) U/L vs (186.86 ± 89.04) U/L]], and the difference was statistically different(P<0. 05). Tbil level after treatment in endoscopy group was significantly lower than that before treatment[(32. 63 ± 26. 84)μmol/L vs (164. 18 ± 64. 93)μmol/L], and the difference was statistically different(P<0. 05), but Tbil in control group was not greatly different before and after ERCP. Time of abdominal pain and distention relief [(6. 24 ± 1. 65)d vs (10. 00 ± 2. 91)d], length of stay[(8. 53 ± 5. 40)d vs (15. 84 ± 5. 05)d] and cost of hospitalization[(42685. 75 ± 14462. 10) Yuan vs (63246. 29 ± 18040. 02) Yuan] in endoscopy group were obviously decreased compared with those in control group, and the difference was statistically different(P<0. 05). Conclusions The clinical therapeutic effect of ERCP was obvious in the treatment of ABP.
