title: [Value of integrated pancreatic and biliary stents for prevention of post-ERCP pancreatitis].
abstract: Objective:To investigate the value of integrated pancreatic and biliary stents for prevention of post-Endoscopic Retrograde Cholangiopancreatography (ERCP) pancreatitis.Methods:The clinical data of patients whom had pancreatic stents for prevention of post-ERCP pancreatitis from December 2013 to October 2015 were retrospectively analyzed. The clinical effect and complication were compared between straight pancreatic stents group and integrated pancreatic and biliary stents group.Results:A total of 214 patients had pancreatic stents for prevention of post-ERCP pancreatitis. Among them, 139 of the patients received a straight pancreatic stents with the average operation time of 62.1±9.8 min and 75 patients received the integrated pancreatic and biliary stents with the average operation time of 67.2±12.7 min. The average operation time was statistically significantly different (P=0.001). Straight stents group was found to have higher incidence of pancreatic stents proximal migration and spontaneous abscission than integrated pancreatic and biliary stents group (8.6% vs 0,P=0.009; 12.9% vs 1.3%,P=0.004). There was no significant difference in the incidence of acute pancreatitis or hyperamylasemia between the two groups (3.6% vs 2.7%,P=1.000; 5.0% vs 4.0%,P=1.000). A total of 123 patients in the straight stents group received a second ERCP to remove the pancreatic stents in 1 to 8 weeks after ERCP, and 2 patients had acute pancreatitis and 3 patients had high amylase, while there was no complication happened after the remove of integrated pancreatic and biliary stents in one week after ERCP.Conclusion:The clinical effect of integrated pancreatic and biliary stents for the prevention of post-ERCP pancreatitis is better than straight pancreatic stents.
authors.affiliation: Department of Biliary Minimally Invasive Surgery, Affiliated Zhongshan Hospital of Dalian University, Dalian 116001, China.
authors.forename: C
authors.initials: C
authors.lastname: Zhang
authors.forename: Y L
authors.initials: YL
authors.lastname: Yang
authors.forename: Y
authors.initials: Y
authors.lastname: Yu
authors.forename: C C
authors.initials: CC
authors.lastname: Qi
authors.forename: M J
authors.initials: MJ
authors.lastname: Lin
authors.forename: L J
authors.initials: LJ
authors.lastname: Shi
authors.forename: H W
authors.initials: HW
authors.lastname: Zhang
authors.forename: J Y
authors.initials: JY
authors.lastname: Li
authors.forename: Y F
authors.initials: YF
authors.lastname: Ma
mesh_terms: D002760:Cholangiopancreatography, Endoscopic Retrograde; D006801:Humans; D034321:Hyperamylasemia; D015994:Incidence; D010179:Pancreas; D010195:Pancreatitis; D019919:Prosthesis Implantation; D012189:Retrospective Studies; D015607:Stents