Assessment of Pharmacological Prophylaxis for Acute Pancreatitis Following ERCP in Patients with Choledoholithiasis

• Authors: Ewa Łubowska-Pająk , Krzysztof Kołomecki
• Languages of publication: EN

Abstracts

EN

Endoscopic retrograde cholangiopancreatography (ERCP) is an effective tool in the diagnostics and treatment of bile duct diseases. Although minimally invasive, the procedure is associated with a risk of complications, with acute pancreatitis being the most serious. In recent years, high hopes have been placed on pharmacological prevention of acute pancreatitis after ERCP.The aim of the study was assessment of the efficacy of low-molecular-weight heparin and somatostatin in combination with diclofenac in the prevention of acute pancreatitis after ERCP. Material and methods. The study enrolled three groups of 30 patients diagnosed with cholelithiasis; group I: patients who received low-molecular-weight heparin prior to ERCP, group II: patients who received somatostatin and diclofenac, group III: control group. The study assessed the incidence of acute pancreatitis, hyperamylasemia and increased CRP levels.Results. Acute pancreatitis was observed in 13.3% of group I patients, 10% of group II patients and 16.7% of group III patients (no statistical significance). Hyperamylasemia was observed in 16.7% of group I patients, 16.7% of group II patients and 43.3% of group III patients. These differences were statistically significant. No significant differences were found in the occurrence of increased CRP levels among the study groups.Conclusions. No significant reduction in the occurrence of acute pancreatitis after ERCP was observed in patients who received pharmacological prophylaxis. A significant reduction in the occurrence of hyperamylasemia was found in drug-treated patients.

Keywords

EN

acute pancreatitis; endoscopic retrograde cholangiopancreatography

• Publisher: De Gruyter Open
• Journal: Polish Journal of Surgery
• Year: 2015
• Volume: 87
• Issue: 12
• Pages: 620-625

Dates

published

1 - 12 - 2015

online

10 - 3 - 2016

received

29 - 12 - 2015

Contributors

author

Ewa Łubowska-Pająk

• Department of General and Oncological Surgery, Kutno Local Government Hospital (Non-public Health Care Institution, Kierownik: dr n. med. Z. Adamczyk

author

Krzysztof Kołomecki

• Department of General and Endocrine Surgery, Medical University in Łódź, Kierownik: prof. dr hab. K. Kuzdak

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Identifiers

DOI

10.1515/pjs-2016-0013