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.
| Published in | European Journal of Clinical and Biomedical Sciences (Volume 2, Issue 6) |
| DOI | 10.11648/j.ejcbs.20160206.14 |
| Page(s) | 83-86 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2024. Published by Science Publishing Group |
Endoscopic Retrograde Cholangiopancreatography, Endoscopic Nasobiliary Drainage, Endoscopic Sphincterotomy, Hyperamylasemia, Acute Pancreatitis, Cholangitis
| [1] | Jakobs R, Benz C, Leonhardt A, et al. Pancreatic endoscopic sphincterotomy in patients with chronic pancreatitis: a single-center experience in 171 consecutive patients [J]. Endoscopy, 2002, 34 (21): 551-554. |
| [2] | Cotton PB, Lehman G, Vennes J, et al. Endoscopic sphincterotomy complications and their management: an attempt at consensus [J]. Gastrointest Endosc, 1991, 37 (12): 383-393. |
| [3] | Kozarek RA, Ball TJ, Patterson DJ, et al. Endoscopic pancreatic duct sphincterotomy: indications, technique, and analysis of results [J]. Gastrointest Endosc, 1994, 40 (13): 592-598. |
| [4] | Sherman S, Lehman GA. Endoscopic pancreatic sphincterotomy: techniques and complications [J]. Gastrointest Endosc Clin N Am, 1998, 8 (2): 115-124. |
| [5] | Freeman ML, DiSario JA, Nelson DB, et al. Risk factors for post-ERCP pancreati- tis: a prospective, multicenter study [J]. Gastrointest Endosc, 2001, 54 (4): 425-434. |
| [6] | Masci E, Toti G, Mariani A, et al. Complications of diagnostic and therapeutic ERCP: a prospective multicenter study [J]. Am J Gastroenterol, 2001, 96 (2): 417-423. |
| [7] | Li ZS, Xu GM, Kong ZX, et al. Complications of diagnostic ERCP and treatment [J]. Chinese Journal of Digestive Endoscopy, 2002, 19 (2): 77-81. |
| [8] | Freeman ML, Nelson DB, Sherman S, et al. Complications of endoscopic biliary Sphincterotomy [J]. N Engl J Med, 1996, 33 (5): 909–918. |
| [9] | Tang SJ, Mayo MJ, Rodriguez-Frias E, et al. Safety and utility of ERCP during pregnancy [J]. Gastrointest Endosc, 2009, 69 (3): 453. |
| [10] | Masci E, Toti G, Mariani A, et al. Complications of diagnostic and therapeutic ERCP: a p rospective multicenter study [J]. Am J Gastroenterol, 2001, 9 (6): 417–423. |
| [11] | Mandryka Y, Klimczak J, Duszewski M, et al. Bile duct infections as a late complication after endoscopic sphincterotomy [J]. Pol Merkur Lekarski, 2006, 21 (126): 525. |
| [12] | Wang HJ, Zhan ZG, Yan JF. Clinical analysis of pancreatitis and hyperamylasemia prevented after ERCP following endoscopic nasobiliary drainage [J]. Pancreatic disease science, 2007, 7 (2): 119. |
| [13] | Chen WF, Yao LQ. Postoperative complications of ERCP and EST progress in the prevention and treatment [J]. China Practical Medicine, 2004, 6 (8):66-67. |
| [14] | Loperfido S, Angelini G, Benedetti G, et al. Major early complications from diagnostic and therapeutic ERCP: a prospective multicenter study [J]. Gastrointest Endosc. 1998, 48 (1): 1-10. |
| [15] | Quallich LG, Stern MA, Rich M, et al. Bile duct crystals do not contribute to sphincter of Oddi dysfunction [J]. Gastrointest Endosc 2002, 55 (23): 163-166. |
| [16] | Tzovaras G, Rowlands BJ. Transduodenal sphincteroplasty and transampullary septectomy for sphincter of Oddi dysfunction [J]. Ann R Coll Surg Engl 2002, 8 (4): 14-19. |
| [17] | Xing GP, Wang HY, Yu XP, et al. clinical analysis of 391 cases of common bile duct stones with ERCP, EST and ENBD treatment of [J]. Journal of Clinical Gastroenterology, 2007, 19 (4): 245-246. |
APA Style
Zhu Qingyun, Pan Xinting, Wang Yunlong, Liu Fuguo, Sun Yunbo, et al. (2016). Endoscopic Nasobiliary Drainage Help to Prevent the Postoperative Complications of ERCP for Choledocholith Removal. European Journal of Clinical and Biomedical Sciences, 2(6), 83-86. https://doi.org/10.11648/j.ejcbs.20160206.14
ACS Style
Zhu Qingyun; Pan Xinting; Wang Yunlong; Liu Fuguo; Sun Yunbo, et al. Endoscopic Nasobiliary Drainage Help to Prevent the Postoperative Complications of ERCP for Choledocholith Removal. Eur. J. Clin. Biomed. Sci. 2016, 2(6), 83-86. doi: 10.11648/j.ejcbs.20160206.14
AMA Style
Zhu Qingyun, Pan Xinting, Wang Yunlong, Liu Fuguo, Sun Yunbo, et al. Endoscopic Nasobiliary Drainage Help to Prevent the Postoperative Complications of ERCP for Choledocholith Removal. Eur J Clin Biomed Sci. 2016;2(6):83-86. doi: 10.11648/j.ejcbs.20160206.14
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author = {Zhu Qingyun and Pan Xinting and Wang Yunlong and Liu Fuguo and Sun Yunbo and Li Liandi and Yu Bangxu and Jiang Wenbin and Li Kun and Wang Huimin and Sui Na},
title = {Endoscopic Nasobiliary Drainage Help to Prevent the Postoperative Complications of ERCP for Choledocholith Removal},
journal = {European Journal of Clinical and Biomedical Sciences},
volume = {2},
number = {6},
pages = {83-86},
doi = {10.11648/j.ejcbs.20160206.14},
url = {https://doi.org/10.11648/j.ejcbs.20160206.14},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ejcbs.20160206.14},
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, P0.05) before ERCP. At the same time, ENBD group were found with less incidences of hyperamylasemia (5% vs. 18%, P0.05) than control group. Conclusion: Out results suggested that ENBD can prevent the complications of hyperamylasemia, acute pancreatitis and SOD after ERCP effectively.},
year = {2016}
}
TY - JOUR T1 - Endoscopic Nasobiliary Drainage Help to Prevent the Postoperative Complications of ERCP for Choledocholith Removal AU - Zhu Qingyun AU - Pan Xinting AU - Wang Yunlong AU - Liu Fuguo AU - Sun Yunbo AU - Li Liandi AU - Yu Bangxu AU - Jiang Wenbin AU - Li Kun AU - Wang Huimin AU - Sui Na Y1 - 2016/12/17 PY - 2016 N1 - https://doi.org/10.11648/j.ejcbs.20160206.14 DO - 10.11648/j.ejcbs.20160206.14 T2 - European Journal of Clinical and Biomedical Sciences JF - European Journal of Clinical and Biomedical Sciences JO - European Journal of Clinical and Biomedical Sciences SP - 83 EP - 86 PB - Science Publishing Group SN - 2575-5005 UR - https://doi.org/10.11648/j.ejcbs.20160206.14 AB - 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, P0.05) before ERCP. At the same time, ENBD group were found with less incidences of hyperamylasemia (5% vs. 18%, P0.05) than control group. Conclusion: Out results suggested that ENBD can prevent the complications of hyperamylasemia, acute pancreatitis and SOD after ERCP effectively. VL - 2 IS - 6 ER -
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