急诊十二指肠镜治疗急性胆源性胰腺炎94例
急诊十二指肠镜;内镜鼻胆管引流;急性胆源性胰腺炎,勾承月,秦鸣放,邹富胜,通讯作者:,Emergencyduodenoscopyforacutebiliarypancreatitis:ananalysisof94cases,Cheng-YueGou
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勾承月, 秦鸣放, 邹富胜, 天津市南开医院微创外科 天津市300122
通讯作者: 勾承月, 300100, 天津市南开区三纬路122号, 天津市南开医院微创外科. liza-zhang@sohu.com
电话: 022-27022268-3487
收稿日期: 2007-04-10 修回日期: 2007-08-15
Emergency duodenoscopy for acute biliary pancreatitis: an analysis of 94 cases
Cheng-Yue Gou, Ming-Fang Qin, Fu-Sheng Zou
Cheng-Yue Gou, Ming-Fang Qin, Fu-Sheng Zou,Minimally Invasive Surgery Center, Nankai Hospital, Tianjin 300100, China
Correspondence to:Cheng-Yue Gou, Minimally invasive Surgery Center, Nankai Hospital, 122 Sanwei Road, Nankai District, Tianjin 300100, China. liza-zhang@sohu.com
Received:2007-04-10 Revised:2007-08-15
Abstract
AIM: To study the clinic outcomes of endoscopic naso-biliary drainage (ENBD) for acute biliary pancreatitis (ABP).
METHODS: We retrospectively analyzed 94 patients with ABP who had undergone emergency endoscopic examination and were treated with endoscopic naso-biliary drainage (ENBD) from January 2004 to December 2005. Endoscopic sphincterotomy (EST) was also carried out in some cases.
RESULTS: Ninety-one patients (96.81%) were successfully healed after emergency duodenoscopy. There were no severe complications or mortality. On average, abdominal pain symptoms recovered within 42.3 h and amylase level within 56 h. After being treated by ENBD for 1 week, the pancreatic edema in 49 of 61 cases was resolved; peripancreatic effusion was completely absorbed in 21 of 29 patients and was obviously decreased in the remaining 8, without clinical complications.
CONCLUSION: Emergency duodenoscopy is a safe and new method for treating ABP ......
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