Endoscopic sphincterotomy and recurrence of acute pancreatitis in gallstone patients considered unfit for surgery.
Pancreas
; 14(1): 28-31, 1997 Jan.
Article
em En
| MEDLINE
| ID: mdl-8981504
ABSTRACT
The aim of the present prospective study was to investigate whether endoscopic sphincterotomy may be useful in preventing recurrence of acute pancreatitis in patients with gallstones and a high anesthesiological risk of cholecystectomy. Twenty-six elderly patients with severe cardiopulmonary, hepatic, and renal diseases were considered. Endoscopic sphincterotomy was successful in 19 cases (group A mean age, 78.4 years; range, 71-87) and failed in 7 patients (group B mean age, 79.8 years; range 73-85). In the follow-up period biliary pain without an increase in pancreatic serum enzymes occurred in six patients in group A and in all patients in group B (p = 0.002); recurrence of acute biliary pancreatitis with a need for hospitalization occurred in one patient in group A and in four patients in group B (p = 0.01). These results suggest that endoscopic sphincterotomy may be considered a very useful option in reducing the recurrence of acute biliary pancreatitis in elderly patients with gallstones and a high anesthesiological risk of cholecystectomy.
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Base de dados:
MEDLINE
Assunto principal:
Pancreatite
/
Colelitíase
/
Esfinterotomia Endoscópica
Idioma:
En
Ano de publicação:
1997
Tipo de documento:
Article