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| The Clinical Value of Endoscopic Retrograde Cholangiopancreatography in the Acute Reaction of Acute Biliary Pancreatitis |
| ZHAO Hui |
| The First Affiliated Hospital of PLA General Hospital, Beijing 100048, China |
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Abstract Objective: To explore the clinical value of Endoscopic Retrograde Cholangiopancreatography in the acute reaction of acute biliary pancreatitis. Methods: 108 cases of acute biliary pancreatitis treated in our hospital from June 2013 to May 2016 were retrospectively analyzed. According to the different treatment methods, the patients were divided into control group and observation group. The control group received conventional non-surgical treatment,the observation group supplemented by emergency line ERCP treatment on the basis of conventional non-surgical treatment . The APACHE Ⅱ score and the incidence of complications were compared between the two groups at different time points. The laboratory indexes of the two groups were measured after 7 days of treatment. Results: The recovery time of normal body temperature, abdominal pain relief time and intestine ventilation time in the observation group were significantly lower than those in the control group (P <0.05). The APACHE Ⅱ score of the two groups were improved gradually after admission. The APACHE Ⅱ score of the observation group was significantly better than that of the control group on the 7th day after admission (P <0.05). The incidence of complications in the observation group was significantly lower than that of the control group P <0.05). After 1 week of treatment, the infection index (white blood cell count and C-reactive protein), liver function (total bilirubin, alanine aminotransferase and γ-glutamyltranspeptidase) and electrolytes (blood glucose and serum calcium ) were significantly improved compared with the control group (P <0.05). Conclusion: ERCP is an effective treatment for acute biliary pancreatitis, which can improve the laboratory indexes and improve the clinical curative effect, which is helpful for the outcome of acute biliary pancreatitis.
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2017, Vol. 23 
