逆行胰胆管造影早期预切开时间对困难插管患者术后胰腺炎发生率的影响

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Abstract Objective To investigate the effect of early precut sphincterotomy on the incidence of post-endoscopic retrograde cholangiopancreatography pancreatitis(PEP) in patients with difficult biliary access.Methods According to the precut time, 187 patients who were referred to Anhui Provincial Corps Hospital of Chinese People's Armed Police Force for ERCP due to difficult biliary cannulation between March 2014 and November 2019 were divided into the early precut group (group A,n=85) and the delayed precut group (Group B,n=102). The success rate of cannulation and the incidence of PEP were compared between the two groups. No rectal indomethacin or pancreatic stent was used for prevention of PEP.Results The incidence of PEP was 4.71%(4/85)in group A and 14.71%(15/102)in group B, so the difference was statistically significant (P<0.05). One of the 15 cases of PEP was severe in group B. There was no significant difference in the incidence of postoperative bleeding, perforation, cholangitis or other complications between the two groups. There was no mortality in either group.Conclusions In patients with difficult biliary cannulation, early precut sphincterotomy is an effective approach and can significantly reduce the incidence of PEP.

Key words： early precut sphincterotomy difficult biliary access post-endoscopic retrograde cholangiopancreatography pancreatitis

Received: 20 May 2020

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	Articles by authors
	YANG Hongqi
	GUO Yanfang
	PENG Hui
	HONG Lili
	SHI Junchao
	CAO Jifan
	ZHOU Tingting

Cite this article:

YANG Hongqi,GUO Yanfang,PENG Hui等. Effect of early precut sphincterotomy on incidence of post-endoscopic retrograde cholangiopancreatography pancreatitis(PEP) in patients with difficult biliary access[J]. Med. J. Chin. Peop. Armed Poli. Forc., 2021, 32(2): 105-107.

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http://journal08.magtechjournal.com/Jwk_wjyx/EN/ OR http://journal08.magtechjournal.com/Jwk_wjyx/EN/Y2021/V32/I2/105

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