SURVEY ON POST - ERCP PANCREATITIS AT CAN THO CENTRAL GENERAL HOSPITAL FROM 2023 TO 2024
Main Article Content
Abstract
Background: Acute pancreatitis is a common emergency condition in Vietnam as well as worldwide, with an increasing incidence. Acute pancreatitis can be caused by gallstones, alcohol and elevated blood triglyceride levels,… Endoscopic retrograde cholangiopancreatography is also a contributing factor to acute pancreatitis. Objective: To identify the incidence, factors related to postERCP pancreatitis at Can Tho Central General Hospital from 2023-2024. Materials and methods: A prospective study of 306 patients undergoing endoscopic retrograde cholangiopancreatography at Can Tho Central General Hospital from July 2023 to april 2024. Results: Regarding the general characteristics, the average age was 65.42 ± 16.1, females accounted for 62.1%, 27.46% had a endoscopic sphincterotomy history, 15.68% had cholecystectomy history, and 0.65% had a history of acute pancreatitis. The incidence rate of post-ERCP pancreatitis was 9.8%, all of which were mild cases and uncomplicated. There was a correlation between post-ERCP pancreatitis and factors such as: endoscopic sphincterotomy history, pancreatic guidewire passages > 1 with an OR (KTC 95%) of 7.4, p<0.001. Conclusions: Post-ERCP pancreatitis has a high incidence, mostly mild, with no fatalities, and the occurrence of acute pancreatitis is associated with endoscopic sphincterotomy history and pancreatic guidewire passages > 1.
Article Details
Keywords
Endoscopic retrograde cholangiopancreatography, acute pancreatitis, associated factors
References
2. E Syrén, S Eriksson, L Enochsson, A Eklund, G Sandblom. Risk factors for pancreatitis following endoscopic retrograde cholangiopancreatography. BJS Open. 2019. 3(4), 485–489, doi: 10.1002/bjs5.50162.
3. Peter A Banks, Thomas L Bollen, Christos Dervenis, Hein G Gooszen, Colin D Johnson, et al.
Acute Pancreatitis Classification Working Group. Classification of acute pancreatitis-2012: Revision of the Atlanta classification and definitions by international consensus. BMJ Journals. 2013. 62, 102–111, doi: 10.1136/gutjnl-2012-302779.
4. Jean-Marc Dumonceau, Christine Kapral, Lars Aabakken, Ioannis S. Papanikolaou, Andrea Tringali, et al. ERCP-related adverse events: European Society of Gastrointestinal Endoscopy (ESGE) Guideline. Thieme. 2020. 52(02), 127-149, doi: 10.1055/a-1075-4080.
5. Võ Duy Thông, Nguyễn Thị Mộng Trinh, Hồ Tấn Phát. Tăng triglicerid máu rất nặng ở bệnh nhân viêm tụy cấp: yếu tố nguy cơ và kết cục lâm sàng. Tạp chí Y học Việt Nam. 2021. Tập 500, số 2, 49-55, doi: https://doi.org/10.51298/vmj.v500i2.356.
6. La Vĩnh Phúc, La Văn Phú, Trần Minh Quân, Nguyễn Trung Hiếu. Kết quả sớm điều trị sỏi ống mật chủ ở bệnh nhân cao tuổi bằng nội soi mật tụy ngược ngược dòng tại bệnh viện Đa khoa thành phố Cần Thơ. Tạp chí Y học Việt Nam. 2022. tập 520 Số 2, 13-17, doi: https://doi.org/10.51298/vmj.v520i2.4122.
7. Nguyễn Hữu Khâm, Dương Quang Huy, Lê Hữu Nhượng, Phan Bá Danh. Nghiên cứu đặc điểm lâm sàng và một số yếu tố liên quan đến viêm tụy cấp sau nội soi mật tụy ngược dòng lấy sỏi ống mật chủ. Tạp chí y học Việt Nam. 2022. tập 518, số 1, 267-271. doi: https://doi.org/10.51298/vmj.v518i1.3368.
8. Muhammad Haseeb Nawaz, Shahid Sarwar, Muhammad Arif Nadeem. Post-ERCP Pancreatitis: Risk factors and role of NSAIDs in primary prophylaxis. National library of medicine. 2020. 36(3), 426-431, doi: 10.12669/pjms.36.3.1804.
9. Dong Kee Jang, Jungmee Kim, Chang Nyol Paik, Jung-Wook Kim, Tae Hee Lee, et al. Endoscopic retrograde cholangiopancreatography‐related adverse events in Korea: A nationwide assessment. National Library of Medicine. 2022. 10(7), 73–79, doi:10.1002/ueg2.12186.