Pancreatic duct stenting for acute biliary pancreatitis with difficult endoscopic cannulatio

Abstract

Objective To evaluate pancreatic duct stenting for acute biliary pancreatitis with difficult endoscopic cannulation. Methods From January 2005 to December 2009, in patients with acute biliary pancreatitis who needed intervention of emergency ERCP, a total of 81 cases were found to be with difficult cannulation and were randomly divided into either treatment group （ n = 35 ） to receive pancreatic duct stenting, or control group （ n = 46 ） to receive the procedure without pancreatic duct stenting. All patients were treated with same medication, and the pancreatic stents were removed after stabilization at a mean time of 11 days after ERCP. All patients were followed up for 3 months after discharging from the hospital. Results There was no significant difference between two groups in regarding of mean age, the time from onset to endoscopy, Glasgow scores and relevant biochemical parameters, but the occurrence of postoperative complications was significantly higher in control group than that of the treatment group （ 17. 39% vs. 5. 71%, P 〈 0. 01 ）. Conclusion Pancreatic duct stenting is a safe and bridging procedure for patients with acute billiary pancreatitis, which can also reduce complications. Key words: Pancreatitis ; Stents ; Cholangiopancreatography, endoscopic retrograde