Risks of Postendoscopic Retrograde Cholangiopancreatography Pancreatitis and Hyperamylasemia After Endoscopic Papillary Balloon Dilation: A Retrospective Analysis
| Autor: | Shan-Shan Liu, Jing-Ming Guan, Ying Hu, Xiao-Hua Chang, Jing Chen, Qian-Qian Huang, Ji-Feng Wen, Ji-Tao Song, Jun Xu |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_specialty Balloon Risk Assessment Cohort Studies Hospitals University Sphincterotomy Endoscopic 03 medical and health sciences Postoperative Complications Sex Factors 0302 clinical medicine Retrospective analysis Humans Medicine Aged Hyperamylasemia Retrospective Studies Cholangiopancreatography Endoscopic Retrograde business.industry Incidence Incidence (epidemiology) Age Factors Retrospective cohort study Middle Aged Prognosis medicine.disease Dilatation Surgery Choledocholithiasis Treatment Outcome Pancreatitis 030220 oncology & carcinogenesis Balloon dilation Female 030211 gastroenterology & hepatology business Cohort study |
| Zdroj: | Surgical Laparoscopy, Endoscopy & Percutaneous Techniques. 29:280-284 |
| ISSN: | 1530-4515 |
| DOI: | 10.1097/sle.0000000000000644 |
| Popis: | It is currently unclear whether endoscopic papillary balloon dilation (EPBD) is associated with increased severe postendoscopic retrograde cholangiopancreatography pancreatitis (PEP)-related morbidity owing to conflicting reports. This study aimed to investigate whether EPBD increases the risk of PEP and hyperamylasemia. Clinical data of patients with choledocholithiasis, treated at the Second Affiliated Hospital of Harbin Medical University from January 2015 to December 2016 were analyzed. Patients were divided into the EPBD group and endoscopic sphincterotomy (EST)+EPBD group, and their characteristics and PEP and hyperamylasemia incidences were compared. Incidences related to dilated balloon diameter were also analyzed. There were no significant differences in patient characteristics and the incidences of PEP (2.6% vs. 0%; P=0.257) and hyperamylasemia (4.4% vs. 5.6%; P=0.954) between the 2 groups. Results were similar even with different balloon dilatations. EPBD without endoscopic sphincterotomy did not increase the risk of PEP and hyperamylasemia. It is a safe option for choledocholithiasis patients. |
| Databáze: | OpenAIRE |
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