Endoscopic Sphincterotomy and Recurrence of Acute Pancreatitis in Gallstone Patients Considered Unfit for Surgery
作者:
Generoso Uomo,
Gianpiero Manes,
Marco Laccetti,
Antonietta Cavallera,
Pier Rabitti,
期刊:
Pancreas
(OVID Available online 1997)
卷期:
Volume 14,
issue 1
页码: 28-31
ISSN:0885-3177
年代: 1997
出版商: OVID
关键词: Acute pancreatitis;Biliary pancreatitis;Gallstone;Elderly patients;Endoscopic retrograde cholangiopancreatography;Endoscopic sphincterotomy
数据来源: OVID
摘要:
The aim of the present prospective study was to investigate whether endoscopic sphincterotomy may be useful in preventing recurrence of acute pancreatitis in patients with gallstones and a high anesthesiological risk of cholecystectomy. Twenty-six elderly patients with severe cardiopulmonary, hepatic, and renal diseases were considered. Endoscopic sphincterotomy was successful in 19 cases (group A: mean age, 78.4 years; range, 71–87) and failed in 7 patients (group B: mean age, 79.8 years; range 73–85). In the follow-up period biliary pain without an increase in pancreatic serum enzymes occurred in six patients in group A and in all patients in group B (p= 0.002); recurrence of acute biliary pancreatitis with a need for hospitalization occurred in one patient in group A and in four patients in group B (p= 0.01). These results suggest that endoscopic sphincterotomy may be considered a very useful option in reducing the recurrence of acute biliary pancreatitis in elderly patients with gallstones and a high anesthesiological risk of cholecystectomy.
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