Recurrence of acute gallstone pancreatitis prevention methods.docVIP

 PAGE \* MERGEFORMAT 19 Recurrence of acute gallstone pancreatitis prevention methods Authors: Neng-Ping Li Ren-Da Lu Ming-Qing Zhou [Abstract] Objective To investigate the recurrence of acute gallstone pancreatitis prevention. Methods in January 1999 ~ July 2001, and cure of 112 consecutive hospitalized patients with acute gallstone pancreatitis in patients with clinical data analysis, follow-up. All patients pre-hospital and did not have no history of gallstone pancreatitis cholecystectomy. According to the patients during hospitalization Oddi whether endoscopic sphincterotomy (endoscopic phincterotomy, referred to as EST), all patients were divided into EST group and non-EST group, and cholecystectomy, depending on whether further clustering, comparing the group of gallstone pancreatitis recurrence rate. Results The average follow-up of 18.5 months (6 ~ 30 months). EST group, 38 cases, of which 16 cases cholecystectomy, there was no recurrence of gallstone pancreatitis (0 / 38); non-EST group of 74 cases, 14 cases of recurrence of gallstone pancreatitis (14/74), the recurrence rate was 18  9% difference between the two groups was significant (P amp;lt;0.01). In the non-EST group, 29 cases of cholecystectomy, two cases of recurrence of gallstone pancreatitis (2 / 29), the recurrence rate was 6.9%; the absence of cholecystectomy in 45 cases, 12 cases of recurrence of gallstone pancreatitis (12/45), the recurrence rate was 26.7%, gallstone pancreatitis after cholecystectomy the recurrence rate significantly lower (P amp;lt;0  05). From the time of relapse in patients discharged from hospital 2 weeks to 2 years. 2 cases of cholecystectomy on postoperative recurrence of gallstone pancreatitis underwent ERCP, are found in common bile duct stones after EST OK, no pancreatitis attack. Conclusions EST can be effective in preventing recurrence of gallstone pancreatitis, and with less trauma and faster recovery, etc., suitable for senior citizens, generally poor,