Application of sEST+EPBD in patients with mild or moderate biliary pancreatitis
10.3969/j.issn.1007-1989.2017.12.011
- VernacularTitle:内镜下乳头括约肌小切开术联合球囊扩张术在轻中度 胆源性胰腺炎治疗中的价值
- Author:
Wang QING-HUA
1
;
Han WEI
;
Wang BING-FANG
;
Zhang LI
;
Bao JIE
;
Lu YONG-GAO
Author Information
1. 江苏大学附属昆山医院消化内科
- Keywords:
biliary pancreatitis;
endoscopic sphincterotomy (EST);
endoscopic papillary balloon dilation (EPBD);
randomized controlled trial
- From:
China Journal of Endoscopy
2017;23(12):50-54
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the clinical value of sEST+EPBD applied in patients with mild-to-moderate biliary pancreatitis. Methods We selected out 60 cases mild or moderate biliary pancreatitis from January, 2013 to December, 2015, and randomly divided these cases into control group, EST group and sEST + EPBD group. We compared serological indexes, postoperative inflammation index, concurrent operation, hospitalization and follow-up indicators of these three groups. Results The levels of serum amylase, CRP and PCT were no statistical significance in three groups (P > 0.05). Total lengths of hospital stay and recurrence of pancreatitis in EST groups and sEST + EPBD group were significantly shorter than in control group (P < 0.05), and the total cost of hospitalization in sEST + EPBD group was obviously lower than in control group (P < 0.05). The level of postoperative serum amylase in sEST + EPBD group was obviously higher than in EST group, and the total length of hospital stay, cost and operative complications in sEST+EPBD group was significantly lower than that in EST group (P < 0.05); However, within one year, recurrences of pancreatitis and rates of cholecystectomy were no significant differences in these two groups. Conclusion sEST+EPBD is an effective and safe treatment in mild or moderate biliary pancreatitis, and can reduce the length of hospital stay and cost, operative complications, and assist the implementation of interval laparoscopic cholecystectomy.
