ERCP术后胰腺炎的诊断与治疗

被引:23
作者
杨勇 [1 ]
张文杰 [1 ]
王雪峰 [1 ]
顾钧 [1 ]
庄敏 [1 ]
刘颖斌 [1 ]
全志伟 [1 ]
赵铭宁 [2 ]
机构
[1] 上海交通大学附属新华医院普外科
[2] 温州医学院
关键词
ERCP; 胰腺炎; 诊断; 治疗;
D O I
暂无
中图分类号
R576 [胰腺疾病];
学科分类号
100201 [内科学];
摘要
目的探讨ERCP术后并发胰腺炎的诊断与治疗。方法回顾性分析2824例行ERCP患者的有关临床资料。统计高淀粉酶血症与PEP的发生率,观察ERCP后血淀粉酶变化的规律。结果高淀粉酶血症与PEP是ERCP后最常见的并发症,本组总发生率达87.3%。结论ERCP术后并发胰腺炎一般较轻,经保守治疗后均能恢复。重症胰腺炎的发生率较低,但愈后较差。
引用
收藏
页码:332 / 335
页数:4
相关论文
共 13 条
[1]
Ulinastatin for pancreatitis after endoscopic retrograde cholangiopancreatography: A randomized, controlled trial [J].
Tsujino, T ;
Komatsu, Y ;
Isayama, H ;
Hirano, K ;
Sasahira, N ;
Yamamoto, N ;
Toda, N ;
Ito, Y ;
Nakai, Y ;
Tada, M ;
Matsumura, M ;
Yoshida, H ;
Kawabe, T ;
Shiratori, Y ;
Omata, M .
CLINICAL GASTROENTEROLOGY AND HEPATOLOGY, 2005, 3 (04) :376-383
[2]
Risk factors for pancreatitis following endoscopic retrograde cholangiopancreatography: A meta-analysis [J].
Masci, E ;
Mariani, A ;
Curioni, S ;
Testoni, PA .
ENDOSCOPY, 2003, 35 (10) :830-834
[3]
Risk factors for complications after performance of ERCP [J].
Vandervoort, J ;
Soetikno, RM ;
Tham, TCK ;
Wong, RCK ;
Ferrari, AP ;
Montes, H ;
Roston, AD ;
Slivka, A ;
Lichtenstein, DR ;
Ruymann, FW ;
Van Dam, J ;
Hughes, M ;
Carr-Locke, DL .
GASTROINTESTINAL ENDOSCOPY, 2002, 56 (05) :652-656
[4]
Mechanism of pancreatitis caused by ERCP [J].
Akashi, R ;
Kiyozumi, T ;
Tanaka, T ;
Sakurai, K ;
Oda, Y ;
Sagara, K .
GASTROINTESTINAL ENDOSCOPY, 2002, 55 (01) :50-54
[5]
Management of asymptomatically/minimally symptomatic post-ERCP serum liver test elevations: First do no harm [J].
Silverman, WB ;
Thompson, RA .
DIGESTIVE DISEASES AND SCIENCES, 2002, 47 (07) :1498-1501
[6]
Sphincter of Oddi dysfunction: Pancreaticobiliary sphincterotomy with pancreatic stent placement has a lower rate of pancreatitis than biliary sphincterotomy alone [J].
Fogel, EL ;
Eversman, D ;
Jamidar, P ;
Sherman, S ;
Lehman, GA .
ENDOSCOPY, 2002, 34 (04) :280-285
[7]
Post-ERCP pancreatitis: New momentum [J].
Rabenstein, T ;
Hahn, EG .
ENDOSCOPY, 2002, 34 (04) :325-329
[8]
Serum lipase, C-reactive protein, and interleukin-6 levels in ERCP-induced pancreatitis [J].
Kaw, M ;
Singh, S .
GASTROINTESTINAL ENDOSCOPY, 2001, 54 (04) :435-440
[9]
Interleukin 10 reduces the incidence of pancreatitis after therapeutic endoscopic retrograde cholangiopancreatography [J].
Devière, J ;
Le Moine, O ;
Van Laethem, JL ;
Eisendrath, P ;
Ghilain, A ;
Severs, N ;
Cohard, M .
GASTROENTEROLOGY, 2001, 120 (02) :498-505
[10]
Effects of bolus somatostatin in preventing pancreatitis after endoscopic pancreatography:: results of a randomized study [J].
Bordas, JM ;
Toledo-Pimentel, V ;
Llach, J ;
Elena, M ;
Mondelo, F ;
Ginès, A ;
Terés, J .
GASTROINTESTINAL ENDOSCOPY, 1998, 47 (03) :230-234