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The Place of Early Period ERCP in Acute Biliary Pancreatitis?

Year 2021, Volume: 13 Issue: 2, 242 - 250, 07.06.2021
https://doi.org/10.18521/ktd.749787

Abstract

Objective: Acute pancreatitis; It can be defined as a clinical picture that occurs as a result of non_bacterial inflammation of the pancreas and may progress with pathological findings. For years, various studies have been conducted on the use of Endoscopic Retrograde Pancreatic Cholangiography and Endoscopic Sphincterotomy for therapeutic purposes in Acute Pancreatitis. For years, various studies have been conducted on the use of Endoscopic Retrograde Pancreatic Cholangiography and Endoscopic Sphincterotomy for therapeutic purposes in Acute Pancreatitis.
In our study, we aimed to examine either the effectiveness of Endoscopic Retrograde Pancreatic Cholangiography and Endoscopic Sphincterotomy in patients with mild severity and how the endoscopic procedure affects the course of the disease.

Material and Method: In this study, patients with mild pancreatitis were selected among the patients who applied to the Department of General Surgery, of Atatürk University Faculty of Medicine and diagnosed with acute biliary pancreatitis (ABP).
After the patients were separated according to the mild pancreatitis table, early (within 72 hours) and late period, they were randomly selected to be performed Endoscopic Retrograde Pancreatic cholangiography and Endoscopic Sphincterotomy. 59 patients were detected in this way.

Results: Twelve (20.3%) of the patients included in our study were male, and 47 (79.7%) were female, and their ages were between 25-75 years (mean 64.3 years). Two groups were created in order to perform ERCP/ES in the early and late periods. All patients had acute onset abdominal pain and serum amylase levels have been ranging between (1012-7660 UI/L).

Conclusion: Consequently, we can say that; in patients with mild acute biliary pancreatitis, there is no significant difference in the early (first 72 hours) ERCP/ES results compared to the results of patients with ERCP/ES in the late period.

References

  • REFERENCES 1. Leung PS. Overview of the pancreas. Adv Exp Med Biol. 2010;690:3-12. 2. Walsh MK. Diagnosis, prognosis, and treatment of acute pancreatitis. Am Fam Physician. 2008;77(5):594. 3. Portelli M, Jones CD. Severe acute pancreatitis: Pathogenesis, diagnosis and surgical management. Hepatobiliary Pancreat Dis Int. 2017;16(2):155-59.

Akut Bilier Pankreatitte Erken Dönem ERCP’nin Yeri?

Year 2021, Volume: 13 Issue: 2, 242 - 250, 07.06.2021
https://doi.org/10.18521/ktd.749787

Abstract

Amaç: Akut pankreatit; Pankreasın bakteriyel olmayan enflamasyonu sonucu patolojik bulgularla seyredebilen klinik bir tablo olarak tanımlanabilir. Yıllardan beri Endoskopik Retrograd Pankreatiko Kolanjiografi ve Endoskopik Sfinkterotomi’nin Akut Pankreatit’de terapötik maksatlı olarak kullanımı ile ilgili çeşitli çalışmalar yapılmaktadır. Bu çalışmalara göre özellikle hafif şiddetli Akut Pankreatit’de erken Endoskopik Retrograd Pankreatiko Kolanjiografi ve Endoskopik Sfinkterotomi tartışmalı olmaya devam etmektedir.
Biz çalışmamızda hafif şiddetteki Akut Pankreatit’li hastalarında, Endoskopik Retrograd Pankreatiko Kolanjiografi ve Endoskopik Sfinkterotomi’nin tedavideki etkinliğini, aynı zamanda yapılan endoskopik işlemin hastalığın seyrini nasıl etkilediğini araştırmayı amaçladık.

Materyal ve Metot: Bu çalışmada, Atatürk Üniversitesi Tıp Fakültesi Genel Cerrahi Anabilim Dalına, akut bilier pankreatit (ABP) tanısı ile müracaat eden hastalar arasından, Ranson kriterleri ve hastaların klinik durumlarına göre hafif şiddetteki pankreatitli hastalar belirlendi. Hastalar hafif pankreatit tablosuna göre ayrıldıktan sonra erken (72 saat içinde) ve geç dönemde, Endoskopik Retrograd Pankreatiko Kolanjiografi ve Endoskopik Sfinkterotomi yapılmak üzere randomize bir şekilde seçildi. Bu şekilde 59 hasta tespit edildi.

Bulgular: Çalışmamıza dahil edilen hastaların 12’si (%20,3 )erkek, 47’si (%79,7) kadın olup, yaşları 25–75 yıl (ortalama 64,3 yıl) idi. Hastalara erken ve geç dönemde ERCP/ES yapılmak üzere 2 grup oluşturuldu. Hastaların 24(%40,6)’üne erken 35(%59,4)’ine geç dönemde ERCP/ES yapıldı. Tüm hastalarda akut başlayan karın ağrısı vardı ve serum amilaz seviyeleri (1012-7660 Üİ/L) arasında değişmekte idi.

Sonuç : Sonuç olarak diyebiliriz ki; hafif şiddetteki akut bilier pankreatitli hastalarda erken (ilk 72 saat) ERCP/ES sonuçlarının geç dönemde ERCP/ES yapılan hastaların sonuçları ile karşılaştırıldığında anlamlı bir fark yoktur. Bu nedenle hafif şiddetteki akut bilier pankreatitli hastalara erken dönemde ERCP/ES yapılabileceği kanaatindeyiz.

References

  • REFERENCES 1. Leung PS. Overview of the pancreas. Adv Exp Med Biol. 2010;690:3-12. 2. Walsh MK. Diagnosis, prognosis, and treatment of acute pancreatitis. Am Fam Physician. 2008;77(5):594. 3. Portelli M, Jones CD. Severe acute pancreatitis: Pathogenesis, diagnosis and surgical management. Hepatobiliary Pancreat Dis Int. 2017;16(2):155-59.
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Details

Primary Language English
Subjects Health Care Administration
Journal Section Articles
Authors

Serdar Aslan 0000-0002-6891-1615

Kemal Peker 0000-0001-5907-0466

Mehmet Yıldırgan This is me 0000-0002-9041-9352

Publication Date June 7, 2021
Acceptance Date March 30, 2021
Published in Issue Year 2021 Volume: 13 Issue: 2

Cite

APA Aslan, S., Peker, K., & Yıldırgan, M. (2021). The Place of Early Period ERCP in Acute Biliary Pancreatitis?. Konuralp Medical Journal, 13(2), 242-250. https://doi.org/10.18521/ktd.749787
AMA Aslan S, Peker K, Yıldırgan M. The Place of Early Period ERCP in Acute Biliary Pancreatitis?. Konuralp Medical Journal. June 2021;13(2):242-250. doi:10.18521/ktd.749787
Chicago Aslan, Serdar, Kemal Peker, and Mehmet Yıldırgan. “The Place of Early Period ERCP in Acute Biliary Pancreatitis?”. Konuralp Medical Journal 13, no. 2 (June 2021): 242-50. https://doi.org/10.18521/ktd.749787.
EndNote Aslan S, Peker K, Yıldırgan M (June 1, 2021) The Place of Early Period ERCP in Acute Biliary Pancreatitis?. Konuralp Medical Journal 13 2 242–250.
IEEE S. Aslan, K. Peker, and M. Yıldırgan, “The Place of Early Period ERCP in Acute Biliary Pancreatitis?”, Konuralp Medical Journal, vol. 13, no. 2, pp. 242–250, 2021, doi: 10.18521/ktd.749787.
ISNAD Aslan, Serdar et al. “The Place of Early Period ERCP in Acute Biliary Pancreatitis?”. Konuralp Medical Journal 13/2 (June 2021), 242-250. https://doi.org/10.18521/ktd.749787.
JAMA Aslan S, Peker K, Yıldırgan M. The Place of Early Period ERCP in Acute Biliary Pancreatitis?. Konuralp Medical Journal. 2021;13:242–250.
MLA Aslan, Serdar et al. “The Place of Early Period ERCP in Acute Biliary Pancreatitis?”. Konuralp Medical Journal, vol. 13, no. 2, 2021, pp. 242-50, doi:10.18521/ktd.749787.
Vancouver Aslan S, Peker K, Yıldırgan M. The Place of Early Period ERCP in Acute Biliary Pancreatitis?. Konuralp Medical Journal. 2021;13(2):242-50.