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Endoscopic Nasobiliary Drainage Help to Prevent the Postoperative Complications of ERCP for Choledocholith Removal
European Journal of Clinical and Biomedical Sciences
Volume 2, Issue 6, December 2016, Pages: 83-86
Received: Aug. 15, 2016; Accepted: Nov. 17, 2016; Published: Dec. 17, 2016
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Authors
Zhu Qingyun, The Intensive Care Unit of the Affiliated Hospital of Qingdao University, Qingdao, China
Pan Xinting, The Intensive Care Unit of the Affiliated Hospital of Qingdao University, Qingdao, China
Wang Yunlong, The Intensive Care Unit of the Affiliated Hospital of Qingdao University, Qingdao, China
Liu Fuguo, The Intensive Care Unit of the Affiliated Hospital of Qingdao University, Qingdao, China
Sun Yunbo, The Intensive Care Unit of the Affiliated Hospital of Qingdao University, Qingdao, China
Li Liandi, The Intensive Care Unit of the Affiliated Hospital of Qingdao University, Qingdao, China
Yu Bangxu, The Intensive Care Unit of the Affiliated Hospital of Qingdao University, Qingdao, China
Jiang Wenbin, The Intensive Care Unit of the Affiliated Hospital of Qingdao University, Qingdao, China
Li Kun, The Intensive Care Unit of the Affiliated Hospital of Qingdao University, Qingdao, China
Wang Huimin, The Intensive Care Unit of the Affiliated Hospital of Qingdao University, Qingdao, China
Sui Na, The Intensive Care Unit of the Affiliated Hospital of Qingdao University, Qingdao, China
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Abstract
Aims: In order to investigate the preventive effect of endoscopic nasobiliary drainage (ENBD) on the postoperative complications of ERCP with endoscopic sphincterotomy (EST) for choledocholith. Methods: we collected 180 patients with choledocholith who received the treatment of ERCP for extracting stones between January 2007 and June 2009. All of the 180 patients were divided into two groups: the ENBD group which, including 80 patients, were placed with ENBD, and the control group, including the residual 100 patients, were not placed with ENBD. We measured the scrum amylase levels within 24 hours, before and after ERCP. Meanwhile, the incidences of hyperamylasemia, acute pancreatitis, cholangitis and sphincter of Oddi dysfunction (SOD) were observed after ERCP. Results: The ENBD group shown lower scrum amylase levels after ERCP (225.78±178.62 vs. 563.08±201.24, P<0.05) than control group, while not significant difference existed between these two groups (130.25±35.20 vs. 145.35±45.34, P>0.05) before ERCP. At the same time, ENBD group were found with less incidences of hyperamylasemia (5% vs. 18%, P<0.05), acute pancreatitis (2.5% vs. 8%, P<0.05) and SOD (5% vs. 20%, P<0.05), but not different in cholangitis (2.5% vs. 3%, P>0.05) than control group. Conclusion: Out results suggested that ENBD can prevent the complications of hyperamylasemia, acute pancreatitis and SOD after ERCP effectively.
Keywords
Endoscopic Retrograde Cholangiopancreatography, Endoscopic Nasobiliary Drainage, Endoscopic Sphincterotomy, Hyperamylasemia, Acute Pancreatitis, Cholangitis
To cite this article
Zhu Qingyun, Pan Xinting, Wang Yunlong, Liu Fuguo, Sun Yunbo, Li Liandi, Yu Bangxu, Jiang Wenbin, Li Kun, Wang Huimin, Sui Na, Endoscopic Nasobiliary Drainage Help to Prevent the Postoperative Complications of ERCP for Choledocholith Removal, European Journal of Clinical and Biomedical Sciences. Vol. 2, No. 6, 2016, pp. 83-86. doi: 10.11648/j.ejcbs.20160206.14
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Copyright © 2016 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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