The Place of Early Period ERCP in Acute Biliary Pancreatitis?

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.