Pancreatobiliar manometry in prophylaxis of post-manipulated pancreatitis After endoscopic retrograde cholangiopancreatography
DOI:
https://doi.org/10.11603/2414-4533.2019.4.10704Keywords:
acute post-manipulative pancreatitis, endoscopic retrograde pancreatocholangiography, pancreatobiliar manometryAbstract
The aim of the work: to reduce the incidence of acute post-manipulative pancreatitis due to the use of pancreatobiliar manometry.
Materials and Methods. A proposed device registers pressure in the common pancreatic duct when performing endoscopic retrograde cholangiopancreatography, which in real time, using a graphical curve, displays the pressure in the pancreatic duct. Thus, with a sharp "peak" rise in the curve, the situation was considered as an increase in pressure inside the pancreatic duct, which was an indication for the injection of contrast substance with a lower volume rate and anti-pancreatic therapy. This technique was used in 128 patients from 2013 to 2018.
Results and Discussion. In patients of group 1, acute post-manipulative pancreatitis developed in 21.8 %, while in patients of group 2, in whom prophylactic measures of acute post-manipulative pancreatitis were carried out immediately after the detection of its manifestations – in 6.3 %.The clinical symptoms of acute pancreatitis and amylolytic blood activity were observed rarely in group, where the pressure control methods were used, than in the comparison group.
References
Skalii M.M. (2016). Vdoskonalennia miniinvazyvnykh metodiv diahnostyky i likuvannia malosymptomnykh form porushennia prokhidnosti kholedokha [Improvement of minimally invasive diagnostic and treatment methods oligosymptomatic forms impaired patency of the terminal part of the common bile duct]. Candidate’s thesis. Kharkiv: Medical Academy of Postgraduate Education of Ukraine [in Ukrainian].
Shadrin, O.V. (2016). Vybir endoskopichnykh metodiv dekompresii zhovchovyvidnykh protokiv u khvorykh z hostrym biliarnym pankreatytom [Choice of endoscopic methods of decompression of bile ducts in patients with acute biliary pancreatitis]. Candidate’s thesis. Kharkiv [in Ukrainian].
Shapovalants, S.G., Ardasenov, B., & Fedorov, E.D. (2011). Khirurgicheskaya taktika lecheniya kholedokholigiaza, oslozhnennogo mekhanicheskoy zheltukhoy u bolnykh s izmenennoy anatomiyey biliodoedenalnoy oblasti [Surgical tactics for the treatment of choledocholigiasis complicated by obstructive jaundice in patients with altered anatomy of the bilioduodenal region]. Khirurgiya – Surgery, 10, 35-38 [in Russian].
Benjaminov, F., Leichtman, G., & Naftali, T. (2013). Effects of age and cholecystectomy on common bile duct diameter as measured by endoscopic ultrasonography. Surg. Endosc., 27, 303-307. DOI: https://doi.org/10.1007/s00464-012-2445-7
El Nakeeb, A., Sultan, A.M., & Hamdy, E. (2015). Intraoperative endoscopic retrograde cholangio-pancreatography: A useful tool in the hands of the hepatobiliary surgeon. World Journal of Gastroenterology: WJG, 21 (2), 609-615. DOI: https://doi.org/10.3748/wjg.v21.i2.609
Parsi, M.A., Jang, S., & Sanaka, M. (2014). Diagnostic and therapeutic cholangiopancreatoscopy: performance of a new digital cholangioscope. Gastrointest. Endosc., 79, 936-942. DOI: https://doi.org/10.1016/j.gie.2013.10.029
Trikudanathan, G., Navaneethan, U., & Parsi, M.A. (2013). Endoscopic management of difficult common bile duct stones. World J. Gastroenterol., 19, 165-173. DOI: https://doi.org/10.3748/wjg.v19.i2.165
Yoon, H.G., Moon, J.H., & Choi, H.J. (2014). Endoscopic papillary large balloon dilation for the management of recurrent difficult bile duct stones after previous endoscopic sphincterotomy. Dig. Endosc., 26, 259-263. DOI: https://doi.org/10.1111/den.12102
Zhang, J.F., Zhang, Z.Q., Du, Q., & Lu, J.F. (2015). Risk factors associated with residual stones in common bile duct via T tube cholangiography after common bile duct exploration. Medicine, 94 (26), e1043. DOI: https://doi.org/10.1097/MD.0000000000001043
Zhao, H.C., He, L., & Zhou, D.C. (2013). Meta-analysis comparison of endoscopic papillary balloon dilatation and endoscopic sphincteropapillotomy. World J. Gastroenterol., 19, 3883-3891. DOI: https://doi.org/10.3748/wjg.v19.i24.3883
Downloads
Published
How to Cite
Issue
Section
License
Authors who publish their work in Hospital Surgery. Journal by L. Ya. Kovalchuk agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access)
