Endoscopy in the duodenal papilla diverticulum induced acute pancreatitis.docVIP

 PAGE \* MERGEFORMAT 7 Endoscopy in the duodenal papilla diverticulum induced acute pancreatitis [Abstract] Objective To investigate the endoscope in the duodenum papilla diverticulum-induced acute pancreatitis in the therapeutic effect. Method 2001 for inpatient treatment of duodenal diverticulum with acute pancreatitis caused by the nipple and after endoscopic treatment of 12 patients were retrospectively analyzed. The results of duodenal endoscopic catheter with saline, metronidazole rinse diverticulum cavity in 12 cases, endoscopic treatment of abdominal pain after 1 to 2 days to ease the blood amylase to drop 3 to 5 days. Conclusion The endoscope can be directly caused by the lifting of open house packing causes poor drainage of bile pancreatic juice to achieve the purpose of rapid improvement in symptoms. [Keywords:] duodenal diverticulum papilla; Acute pancreatitis; Duodenoendoscopy; treatment Around the duodenal papilla diverticulum (peripapillary duodenal dverticulum) and the pancreatic and biliary diseases are closely related, some cases can cause acute pancreatitis (AP), in medical drug therapy, based on the timely lifting of poor drainage of bile pancreatic juice is an effective treatment of the key advantage of our department since 2001, mirrors the treatment of duodenal papilla duodenal diverticulum-induced acute pancreatitis in 12 cases, satisfactory therapeutic effect. Are reported below. 1 Data and methods 1.1 The clinical data of 12 patients, 8 males and 4 females; aged 58 to 77 years, with an average age of 62. At the bottom of the nipple 5 cases of diverticulitis, diverticulitis medial edge of the nipple 7 cases, duration 1 ~ 2 days, no alcohol, eat too much history, clinical manifestations are different degrees of persistent abdominal pain, fever in 6 cases, all cases of serum amylase activity in increase ≥ 3 times the normal upper limit, B Chao, abdominal CT pancreas increased in 12 cases, except for gallbladder stones, duode