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内镜逆行胰胆管造影术后胰腺炎的危险因素。

Risk factors for pancreatitis following endoscopic retrograde cholangiopancreatography.

机构信息

Department of Surgical Sciences Uppsala University Uppsala Sweden.

Department of Surgery, Centre for Clinical Research Västmanland Regional Hospital Västerås Sweden.

出版信息

BJS Open. 2019 Apr 2;3(4):485-489. doi: 10.1002/bjs5.50162. eCollection 2019 Aug.

Abstract

The aim of this study was to assess whether sex, age, ASA grade, previous history of acute pancreatitis, diabetes, hyperlipidaemia, hypercalcaemia, kidney disease and liver cirrhosis influence the risk for developing post-endoscopic retrograde cholangiopancreatography (ERCP) pancreatitis (PEP). A total of 15 800 ERCP procedures retrieved from the Swedish National Quality Register for Gallstone Surgery and ERCP (GallRiks) for 2006-2014 were identified and cross-checked with the National Patient Register. Women, patients aged less than 65 years, patients with hyperlipidaemia and those with a previous history of acute pancreatitis had a significantly increased risk of PEP, whereas patients with diabetes had a significantly decreased risk. Risk of pancreatitis following ERCP.

摘要

本研究旨在评估性别、年龄、ASA 分级、既往急性胰腺炎史、糖尿病、高脂血症、高钙血症、肾病和肝硬化是否会影响内镜逆行胰胆管造影术(ERCP)后胰腺炎(PEP)的发病风险。从 2006 年至 2014 年,从瑞典胆石病手术和 ERCP 国家质量登记处(GallRiks)中检索到 15800 例 ERCP 手术,并与国家患者登记处进行交叉核对。女性、年龄小于 65 岁、高脂血症和既往有急性胰腺炎史的患者发生 PEP 的风险显著增加,而患有糖尿病的患者发生 PEP 的风险显著降低。ERCP 后胰腺炎的风险。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/caf9/6681151/ba807dae2a1a/BJS5-3-485-g001.jpg

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