Acute Pancreatitis after Biliary and Pancreatic Stent Removal with a Forward-Viewing Endoscope

Okamoto, Takeshi; Fukuda, Katsuyuki

doi:10.1159/000518862

Cited by 4 publications

(1 citation statement)

References 11 publications

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“…Inflammation, which is one of the most important components in ABP, can be caused by surgery, which is traumatizing to some extent, and this can lead to an increase in stress response and inflammation, which can lead to an increase in ABP symptoms [ 18 ]. TNF- α is one of the most prevalent clinical inflammatory factors, and the more TNF- α is present, the more strong the inflammatory response is [ 19 ].…”

Section: Discussionmentioning

confidence: 99%

CRP and ALT Levels in Individuals with Acute Biliary Pancreatitis after Endoscopic Retrograde Cholangiopancreatography and Endoscopic Sphincterotomy

Zhu

Sun

2022

Computational Intelligence and Neuroscience

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Objective. The goal of this study was to see how effective endoscopic retrograde cholangiopancreatography combined with endoscopic sphincterotomy was in treating acute biliary pancreatitis and how it affected CRP and ALT levels. Methods. This analysis is based on a 100-patient acute pancreatitis (ABP) study conducted at our institution from June 2019 to June 2020. They were divided into two groups of 50 cases each, the control group and the observational group, according to the random number table. Endoscopic sphincterotomy and ERCP were performed on the observation group instead of open surgery on the control group as a point of comparison (EST). The followings were compared including abdominal pain relief duration, blood amylase recovery duration, and hospital stay duration, as well as Serum C-reactive protein (CRP), interleukin-6 (IL-6), and tumor necrosis factor-α (TNF-α) level; the ALT, AST, and GGT levels of the two groups were compared, as well as the occurrence of problems in both groups. Results. The observation group had a significantly shorter duration of abdominal pain, blood amylase recovery, and hospital stay. Presurgery CRP, IL-6, and TNF-α levels in both groups were significantly lower in the observation group than in the control group. According to the results of the study, both groups saw significant decreases in ALT, AST, and GGT after surgery; however, the levels of these markers in both groups were significantly lower in the observation group after surgery than in the control group. The observation group’s (14.00 percent) complication rate was substantially lower. Conclusion. ERCP and EST in the treatment of ABP can not only successfully improve clinical indexes and facilitate the recovery of patients but also reduce the levels of CRP and alt, reduce the level of inflammation, and enhance renal function, with reduced problems, which has a high clinical reference value.

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Section: Discussionmentioning

confidence: 99%