ISSN: 1859 - 2872
Study on acute pancreatitis after endoscopic retrograde cholangiopancreatitis at 175 Military Hospital
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Abstract
Objective: To determine the rate and risk factors of acute pancreatitis complications in patients after endoscopic retrograde cholangiopancreatography. Subject and method: A retrospective study on 51 patients undergoing endoscopic retrograde cholangiopancreatography at 175 Military Hospital, from January 2019 to June 2022. Clinical and subclinical symptoms were recorded before and after endoscopic retrograde cholangiopancreatography. Result: The rate of acute pancreatitis after endoscopic retrograde cholangiopancreatitis was 11.76% with acute upper abdominal pain accounting for 50.9%. Mainly, after endoscopic biliary sphincterotomy for removal of common bile duct stones, common bile duct stenting, procedure time in over 60 minutes. Serum amylase and lipase concentrations with acute pancreatitis were quite high with a median of 1041U/L and 900U/L, respectively. All patients with mild acute pancreatitis, respond well to medical treatment. Conclusion: Acute pancreatitis is a common complication after endoscopic retrograde cholangiopancreatography. The disease was diagnosed early based on abdominal pain after intervention and increased serum Amylase and Lipase concentration, most of the patients had mild acute pancreatitis.
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