Risk factors of failure in pain resolution in chronic pancreatitis after endoscopic treatment

VernacularTitle:疼痛性慢性胰腺炎内镜介入治疗无效因素初探
Author: Wei WANG ; Zhuan LIAO ; Zhaoshen LI ; Xiaowei LAI ; Xintao WANG ; Duowu ZOU ; Zhendong JIN ; Jianling BAI
Publication Type:Journal Article
Keywords: Pancreatitis,chronic; Endoscopes; Therapy; Risk factors
From: Chinese Journal of Digestive Endoscopy 2009;26(2):60-64
CountryChina
Language:Chinese
Abstract: Objective To evaluate the risk factors of failure in pain resolution in chronic pancreatitis(CP)after endoscopic treatment.Methods We undertook a retrospective cohoa study of subjects with pain caused by CP,who underwent endoscopic treatment from January 1997 to December 2006.Cox proportional-hazards model was used for multivariate analysis of the variables that were possibly related to failure of treatment.Results Follow-up data were obtained from 172 patients(114 males and 58 females,mean age 39.4 yr.Pain resolution after endoscopic treatment was achieved in 148(86.0%).Cox proportional-hazards model showed risk factors of failure in pain resolution after endoscopic treatment were onset age(＞36 years,hazard rate(HR)=3.5),mild and moderate abdominal pain before endoscopy(HR=2.4),no decrease in amount alcohol consume(＜50%,HR=1.9)and inappropriate diet(HR=2.8).Conclusion Patients with CP should abstain from alcohol and have low-fat diet,especially for those with pain onset at older ages (＞36 years)and with mild and moderate abdominal pain before endoscopic treatment.