ISSN: 1859 - 2872
Assessment of some risk factors causing acute pancreatitis post-ERCP with impact on the pancreatic duct
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Abstract
Objective: To evaluate some risk factors for acute pancreatitis (AP) after endoscopic retrograde cholangiopancreatography (ERCP) with pancreatic duct involvement at the 108 Military Central Hospital. Subject and method: A retrospective study of 170 patients undergoing ERCP with pancreatic duct involvement at the 108 Military Central Hospital from January 2021 to March 2024, divided into the PEP (post-ERCP pancreatitis) and non-PEP groups. Result: The average age of the PEP group was 60.6 ± 20.0, and that of the non-PEP group was 63.4 ± 14.9. The male/female ratio in the PEP group was 1/1, and that ratio in the non-PEP group was 2.57/1 (p<0.05). The subjects of intervention were mainly benign patients. There was no difference in the size and the number of the stones between the two groups. Papilla type 2 and 4 were common in the PEP group (69.6%), papilla type 1 and 3 were standard in the non-PEP group. Diverticulosis and ERCP sphincterotomy were similar in the two groups. Multiple papillary catheterization into the pancreatic duct was 58.6% in the PEP group and 28.0% in the non-PEP group. Technically, Oddi dilation differed between the two groups (p<0.002); pre-cut and stent placement were not different. Intervention time in the PEP group was longer than in the non-PEP group (44.49 ± 13.83 minutes vs. 41.25 ± 16.32 minutes). Conclusion: Female gender, type of papilla, multiple papillary catheterization into the pancreas, and Oddi muscle dilation were risk factors for PEP.
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References
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