Results of emergency ERCP in treatment of acute cholangitis and edematous pancreatitis caused by common bile duct stones

  • Phuong Vu Thi 108 Military Hospital
  • Thang Duong Minh 108 Military Hospital
  • Quang Pham Minh Ngoc 108 Military Hospital

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Keywords

Endoscopic retrograde cholangiopancreatography, common bile duct stone, acute edematous pancreatitis, 108 Military Hospital

Abstract

Objective: To assess the results of endoscopic retrograde cholangiopancreatography (ERCP) in treatment of acute cholangitis and edematous pancreatitis caused by common bile duct (CBD) stones. Subject and method: This is an observation study of 72 patients. These patients were treated by emergency ERCP from Jan. 2016 to Mar. 2018 at the GI Department, 108 Military Central Hospital. Result: There were 29 males and 43 females with mean age 47.3 years. Of them, there were 6 cases of septic shock caused by common bile duct stones, 6 cases of acute obstructive suppurative cholangitis combined with acute edematous pancreatitits by CBD stones, 20 cases of acute edematous pancreatitis caused by CBD stones and 46 cases of acute obstructive suppurative cholangitis caused by CBD and common hepatic duct (CHD) stones. The success rate of ERCP was 70.8%. Average length of stay was 6.2 days. The overall results were no complications of ERCP after 1 month follow-up. Conclusion: Our study shows that emergency ERCP can be used effective and safe in treatment of acute obstructive suppurative cholangitis and edematous pancreatitis caused by extrahepatic stones.

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References

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