Farkas I E, Tulassay Z, Papp J
I. Abteilung für Innere Medizin - Gastroenterologie, Flór Ferenc Krankenhaus, Kerepestarcsa.
Gastroenterol J. 1990;50(2):68-71.
The authors examined the possibilities of the endoscopic treatment of acute gallstone pancreatitis on the basis of the results of retrospective investigation of 19 middle-european endoscopic centers. There were altogether 11,830 EST in these centers; in 261 out of them the indication of EST was acute gallstone pancreatitis. They consider the exact and early diagnosis very important that can be based on the typical clinical and laboratory signs and ultrasonography. The ERCP reassures the final diagnosis and at the same time the therapeutic solution--EST--can also be realized. This took place within the first 48 hours. The results were favourable, in 90.4%, the complaints decreased significantly within 24 hours. The complication rate was 4.9%, and the mortality rate was 1.9%. These results are better than those of the conservative therapy.
作者基于对19个中欧内镜中心的回顾性调查结果，研究了急性胆石性胰腺炎的内镜治疗可能性。这些中心共进行了11,830例内镜括约肌切开术（EST）；其中261例EST的指征为急性胆石性胰腺炎。他们认为准确且早期的诊断非常重要，这可基于典型的临床和实验室体征以及超声检查。内镜逆行胰胆管造影（ERCP）可确定最终诊断，同时也可实施治疗方案——EST。这在最初的48小时内完成。结果良好，90.4%的患者在24小时内症状显著减轻。并发症发生率为4.9%，死亡率为1.9%。这些结果优于保守治疗。
