The Incidence Rate of Post-ERCP Pancreatitis and Its Related Factors
Journal Title: مجله علمی- پژوهشی دانشگاه علوم پزشکی قم - Year 2017, Vol 11, Issue 1
Abstract
Background and Objectives: ERCP is a specific technique, which allows bile and pancreatic duct imaging along with a variety of therapeutic interventions. The complexity of this technique has led to a challenge between its benefits and its serious or even mortal complications, among which, pancreatitis is the most common. The aim of this study was to assess the incidence, risk factors, and protective factors of this complication. Methods: In this cross-sectional study, the research population was 310 individuals who referred to Gastroenterology and Hepatology Research Centre of Qom city. At the beginning of the study, demographic characteristics, medical history, and necessary laboratory results of the participants, were recorded and then they underwent ERCP. After 6 hours, physical examination was performed and serum amylase level was evaluated. Six hours after the procedure, the results of examination and amylase test were recorded. Data were analyzed using non-parametric Chi-square and parametric paired t-test. Results: The incidence of pancreatitis was 8.1% and mortality rate was 0.9%; %34 of the patients had hyperamylasemia. Cannulation was difficult, and the number of pancreatic duct cannulation was reported as a risk factor. The mean serum amylase level after ERCP, showed a significant increase in patients with pancreatitis. Conclusion: In this study, the incidence of pancreatitis was 8.1% and the mortality rate was 0.9%, which were similar to previous studies, but the protective role of pancreatic duct stenting was not confirmed. Also, pancreatic duct cannulation and its multiplicity was obvious risk factors. The serum amylase level had a definite association with clinical pancreatitis. More experience of endoscopist and improvement of device function reduced the risk of pancreatitis. Therefore, the serum level of amylase is a reliable factor for diagnosis of this complication.
Authors and Affiliations
Seyed Saeid Seyed Saeid, Ahmad Ahmad
Keywords
Related Articles
- EP ID EP464835
- DOI -
- Views 47
- Downloads 0
همبستگی عزت‌نفس جنسی و اختلال در عملکرد جنسی با رضایت زناشویی در پرستاران بیمارستان‌های شهر کرمانشاه
زمینه و هدف: خانواده، یک نظام اجتماعی طبیعی و یکی از ارکان مهم جامعه به شمار می‌رود. رضایت زناشویی، ارزیابی کلی و ذهنی فرد از ماهیت ازدواج است که شامل میزانی از برآورده‌شدن نیازها، توقعات و امیال فرد می‌باشد. هدف پژوهش ح...
Effect of Seizure During Pregnancy on Seizure Susceptibility in Mouse offspring
Background and Objectives: Epilepsy is a neurodevelopmental disorder, which based on the evidences of prenatal factors, has a significant influence on the development of nervous system in offspring. The present study was...
Carotenoid production by Rhodotorula mucilaginosa UIMC35 and investigation of its antifungal effect on Aspergillus fumigatus, Aspergillus flavus and Mucor hiemalis
Background and Objectives: Carotenoids are an important group of natural pigments with specific applications as colorants, food supplements, and additives; they are also used in medicine, cosmetics, and biotechnological...
گزارش خونریزی داخل مغزی درپی درمان سکته قلبی
زمینه و هدف: سکته مغزی از عوارض نادر بعد از سکته قلبی است. از درمان‌های دارویی سکته قلبی منجر به سکته مغزی می‌توان به آسپرین، پلاویکس و انوکساپارین اشاره کرد. مطالعه حاضر گزارش موردی سکته مغزی به دنبال سکته قلبی است که...
Optimization, Characterization, and Investigation of Antibacterial Activity of Gold Nanoparticles Biosynthesized by Aqueous Extract of Seidlitzia rosmarinus
Background and Objectives: The advantages of biological methods are Low cost, non-toxicity, production of high purity nanoparticles, low time-consuming, and completeness reation time. In the present study, biosynthesis o...