Clinical value of indwelling cutting with guidewire in difficult intubation of pancreatic duct for chronic pancreatitis
10.3760/cma.j.cn321463-20191106-00745
- VernacularTitle:导丝留置切割法在慢性胰腺炎胰管困难性插管中的价值初探
- Author:
Yi HE
1
;
Song ZHANG
;
Feng LIU
;
Ruilu QIN
;
Jingwen HUANG
;
Muhan NI
;
Qibin HE
;
Xiaoping ZOU
;
Lei WANG
Author Information
1. 南京大学医学院附属鼓楼医院消化科 210008
- From:
Chinese Journal of Digestive Endoscopy
2020;37(9):638-641
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the safety and efficacy of indwelling cutting with guidewire in treatment of difficult pancreatic duct stricture.Methods:A retrospective study was performed on the data of patients with chronic pancreatitis, who failed to implant pancreatic duct stent by endoscopic retrograde cholangiopancreatography (ERCP) and whose narrow pancreatic duct only allowed the guidewire to pass through, in Nanjing Drum Tower Hospital from November 2017 to April 2019. The dilatation effect of guidewire indwelling on difficult pancreatic duct stenosis was studied. The duration of guidewire indwelling, the success rate of stent re-implantation, the level of postoperative amylase, recent complications, and follow-up results were analyzed.Results:A total of five patients received indwelling guidewire after failure of dilation of pancreatic duct stenosis during ERCP. After 2.4 days of mean indwelling time, all patients received re-ERCP. The narrow pancreatic duct was successfully expanded and the stent was placed. In terms of complications, only one patient suffered from acute pancreatitis after the first ERCP, and was improved after medical treatment.Conclusion:Guidewire indwelling is a new simple, safe, and effective method for dilatation of pancreatic duct stenosis, and has important clinical value in the management of difficult intubation of pancreatic duct in chronic pancreatitis.
