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Date Published: 30/08/2023
Abstract Views: 129
Views pdf: 120
DOI: https://doi.org/10.51298/vmj.v529i1B.6348
Issue
Vol. 529 No. 1B (2023)
Section
Các bài báo
How to Cite
Nguyễn, X. Q., & Nguyễn, C. B. (2023). TO EVALUATED RISK FACTORS ASSOCIATED WITH POST ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY PROCEDURES WITH DIFFICULT BILIARY CANNULATION IN PATIENTS UNDERGOING PRECUT SPHINCTEROTOMY. Vietnam Medical Journal, 529(1B). https://doi.org/10.51298/vmj.v529i1B.6348

TO EVALUATED RISK FACTORS ASSOCIATED WITH POST ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY PROCEDURES WITH DIFFICULT BILIARY CANNULATION IN PATIENTS UNDERGOING PRECUT SPHINCTEROTOMY

Xuân Quýnh Nguyễn1,, Cảnh Bình Nguyễn1
1 108 Military Central Hospital

Main Article Content

Abstract

Objective: To evaluate risk factors associated with post-endoscopic retrograde cholangiopancreatography procedures with difficult biliary cannulation in patients undergoing precut sphincterotomy. Subject and method: A descriptive study was conducted with 110 patients who had performed precut sphincterotomy for difficult biliary cannulation in endoscopic retrograde cholangiopancreatography (ERCP) at 108 Military Central Hospital from January 2021 to May 2023. Result: The rate of cannulated success in difficult cannulation cases undergoing precut sphincterotomy was 89.1%, with a complication rate of 19.09%. Multivariate risk factors with adjusted odds ratios (OR) of post-ERCP pancreatitis were transpancreatic sphincterotomy (OR 6.714), guidewire, or injection in the pancreatic duct (OR 8.121). Stone bile duct has reduced the development of other complications (OR 0.218). Needle-knife fistulotomy has reduced the growth of post-ERCP pancreatitis (OR 0.205). Conclusions: Stone bile duct is associated with lower other complications. Needle-knife fistulotomy is associated with a lower pancreatitis rate, suggesting that pancreatitis develops due to transpancreatic sphincterotomy technique and guidewire or injection in the pancreatic duct.

Article Details

Keywords

Kỹ thuât cắt trước, nội soi mật tụy ngược dòng, viêm tụy cấp, thông nhú đường mật khó.

References

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