Comparative analysis of clinical features of non-acute biliary pancreatitis and acute biliary pancreatitis

Abstract

Objective To explore the etiological factors, clinical characteristic and diagnosis of non-acute biliary pancreatitis(NABP) and acute biliary pancreatitis(ABP). Methods The Clinical data of 152 patients with NABP and 206 patients with ABP from January 2004 to December 2014 in the Hepatobiliary Surgery Department of Jinshan Branch of the Sixth People's Hospital of Shanghai were analyzed retrospectively. Results There were no statistically significant differences in terms of the Ranson score, blood amylase and C reactive protein(CRP) between two groups(P>0.05). The incidences rate of hepatic insufficiency, renal insufficiency and encephalopathy were 35.5%(54/152), 25.6%(39/152) and 8.5%(13/152) in the NABP group, and 25.7%(53/206), 12.1%(25/206) and 3.3%(7/206) in the ABP group, with significant difference between the two groups(χ2=4.01, 10.89, 4.41; P<0.05). Conclusion The key to reduce the complications and improve the cure rate is to make clear the etiology of NABP and ABP and to take active and effective treatment for the cause of the disease. Key words: Acute pancreatitis; Biliary pancreatitis; Ranson score; Serum amylase; C reactive protein