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Case Report:Surgical intervention of severe post-ERCP-pancreatitis accompanied with duodenum perforation

Case Report:Surgical intervention of severe post-ERCP-pancreatitis accompanied with duodenum perforation
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摘要 Endoscopic retrograde cholangiopancreatography (ERCP) is a procedure widely used to diagnose and treat conditions of biliary or pancreatic ductal system. The post-ERCP severe acute pancreatitis (SAP) accompanied with duodenum perforation is rare but serious, remaining a challenge in clinic. In this study we report two such cases. Two Chinese women were treated for clinical suspicion of bile duct obstruction and underwent ERCP after admission. Both developed duodenum perforation and SAP after ERCP, and were managed in the intensive care unit (ICU) and required an organ-failure support. The surgical intervention of the peri-pancreatic debridement with lumber-abdominal compound incisions and postoperative washing and drainage was performed, and the two patients recovered well. The therapeutic effect of the peri-pancreatic debridement with lumber-abdominal compound incisions combined with postoperative washing and drainage in the patients of severe post-ERCP-pancreatitis (PEP) and duodenum perforation is satisfactory. Endoscopic retrograde cholangiopancreatography （ERCP） is a procedure widely used to diagnose and treat conditions of biliary or pancreatic ductal system. The post-ERCP severe acute pancreatitis （SAP） accompanied with duodenum perforation is rare but serious, remaining a challenge in clinic. In this study we report two such cases. Two Chinese women were treated for clinical suspicion of bile duct obstruction and underwent ERCP after admission. Both developed duodenum perforation and SAP after ERCP, and were managed in the intensive care unit （ICU） and required an organ-failure support. The surgical intervention of the peri-pancreatic debridement with lumber-abdominal compound incisions and postoperative washing and drainage was performed, and the two patients recovered well. The therapeutic effect of the peri-pancreatic debridement with lumber-abdominal compound incisions combined with postoperative washing and drainage in the patients of severe post-ERCP-pancreatitis （PEP） and duodenum perfora- tion is satisfactory.
作者 Zuo-bing CHEN Zhong-yan LIANG Yun ZHANG Shao-yang ZHANG Shu-sen ZHENG
机构地区 Department of Emergency Surgery Department of Hepatopancreatobiliary Surgery
出处 《Journal of Zhejiang University-Science B(Biomedicine & Biotechnology)》 SCIE CAS CSCD 2010年第1期17-21,共5页 浙江大学学报（英文版）B辑（生物医学与生物技术）
基金 supported by the National Natural Science Foundation of China (No.30801188) the Natural Science Foundation of Zhejiang Province,China (Nos.Y2090443 and Y2090460)
关键词 重症急性胰腺炎 十二指肠 胆管 造影 病例报告 穿孔 腹部手术 外科 Endoscopic retrograde cholangiopancreatography （ERCP）, Post-ERCP-pancreatitis （PEP）, Duodenum perforation, Debridement, Drainage
分类号 TS411 [农业科学—烟草工业] S858.28 [农业科学—临床兽医学]
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  • 1Balthazar, E.J., Ranson, J.H., Naidich, D.P., Megibow, A.J., Caccavale, R., Cooper, M.M., 1985. Acute pancreatitis: prognostic value of CT. Radiology, 156(3):767-772.
  • 2Balthazar, E.J., Robinson, D.L., Megibow, A.J., Ranson, J.H., 1990. Acute pancreatitis: value of CT in establishing prognosis. Radiology, 174(2):331-336.
  • 3Castillo, C.E, Rattnel, D.W., Makary, M.A., Mostafavi, A., McGrath, D., Warshaw, A.L., 1998. Debridement and closed packing for the treatment of necrotizing pancreatitis. Ann. Surg., 228(5):676-684. [doi:10.1097/00000 658-199811000-00007].
  • 4Cheon, Y.K., Cho, K.B., Watkins, J.L., McHenry, L., Fogel, E.L., Sherman, S., Lehman, G.A., 2007. Frequency and severity of post-ERCP pancreatitis correlated with extent of pancreatic ductal opacification. Gastrointest. Endosc., 65(3):385-393. [doi:10.1016/j.gie.2006.10.021].
  • 5Cotton, P.B., Lehman, G., Vennes, J., Geenen, J.E., Russell, R.C., Meyers, W.C., Liguory, C., Nickl, N., 1991. Endoscopic sphincterotomy complications and their management: an attempt at consensus. Gastrointest Endosc., 37(3):3834393. [doi: 10.1016/S0016-5107(91 )70740-2].
  • 6Enns, R., Eloubeidi, M.A., Mergener, K., Jowell, P.S., Branch, M.S., Pappas, T.M., Baillie, J., 2002. ERCP-related perforations: risk factors and management. Endoscopy, 34(4): 293-298. [doi: 10A 055/s-2002-23650].
  • 7Freeman, M.L., Nelson, D.B., Sherman, S., Haber, G.B., Herman, M.E., Dorsher, P.J., Moore, J.P., Fennerty, M.B., Ryan, M.E., Shaw, M.J., et al., 1996. Complications of endoscopic biliary sphincterotomy. N. Engl. J. Med, 335(13):909-918. [doi:10.1056/N EJM199609263351301].
  • 8Freeman, M.L., DiSario, J.A., Nelson, D.B., Fennerty, M.B., Lee, J.G., Bjorkman, D.J., Overby, C.S., Aas, J., Ryan, M.E., Bochna, G.S., et al., 2001. Risk factors for post-ERCP pancreatitis: a prospective, multicenter study. Gastrointest. Endosc., 54(4):425-434. [doi: 10.1067/rage. 2001.117550].
  • 9Genzlinger, J.L., McPhee, M.S., Fisher, J.K., Jacob, K.M., Helzberg, J.H., 1999. Significance of retroperitoneal air after endoscopic retrograde cholangiopancreatography with sphincterotomy. Am. J. Gastroenterol., 94(5): 1267- 1270. [doi:10.1111/j.1572-0241.1999.00996.x].
  • 10Jean-Louis, F., Michael, L.S., Catherine, M.P., 2008. Acute pancreatitis. Lancet, 2008(371 ): 143-152.
Journal of Zhejiang University-Science B(Biomedicine & Biotechnology)
2010年 第1期

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