کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3269970 1208179 2006 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Acute pancreatitis: an under-recognized risk of percutaneous transhepatic distal biliary intervention
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی غدد درون ریز، دیابت و متابولیسم
پیش نمایش صفحه اول مقاله
Acute pancreatitis: an under-recognized risk of percutaneous transhepatic distal biliary intervention
چکیده انگلیسی
Objective: Percutaneous transhepatic biliary intervention (PTBI) plays an important role in the management of biliary obstruction, and this may be complicated by acute pancreatitis. The aim of this study was to assess the incidence of acute pancreatitis following PTBI. Patients and methods: Patients who underwent PTBI between January 1992 and December 2003 in a tertiary referral centre were identified from the hospital database. Patients who did not have their amylase measured post-procedure were excluded, as acute pancreatitis might have been missed. Acute pancreatitis was defined as hyperamylasaemia of three times or more above normal in association with abdominal pain. Results: Over a 12-year period, 331 patients underwent 613 procedures. Serum amylase was measured after 134 procedures (21.9%) and was elevated in 26 of those (19.4%). There was no difference in the frequency of hyperamylasaemia between proximal and distal PTBI (14/73 [19.2%] vs 12/61 [19.7%] procedures, p= NS). However, acute pancreatitis developed after 4 of 61 (6.6%) distal PTBI (stent, n= 3; internal-external catheter insertion, n= 1) but not after proximal PTBI (cholangiography or external drainage) (p= 0.041). The attacks were mild in three of the four patients. No pancreatitis-related deaths occurred. Conclusion: The risk of acute pancreatitis after distal PTBI is under-recognized and should be considered as a consent issue in patients scheduled for distal PTBI and when post-procedure abdominal pain ensues.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: HPB - Volume 8, Issue 6, December 2006, Pages 446-450
نویسندگان
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