100 urgentních ERCP na chirurgickém pracovisti
[100 emergency ERCPs performed at a surgery department]
Language Czech Country Slovakia Media print
Document type English Abstract, Journal Article
PubMed
9296835
- MeSH
- Cholangiopancreatography, Endoscopic Retrograde * MeSH
- Cholangitis diagnosis surgery MeSH
- Adult MeSH
- Middle Aged MeSH
- Humans MeSH
- Emergencies MeSH
- Pancreatitis complications diagnosis surgery MeSH
- Aged, 80 and over MeSH
- Aged MeSH
- Sphincterotomy, Endoscopic MeSH
- Check Tag
- Adult MeSH
- Middle Aged MeSH
- Humans MeSH
- Male MeSH
- Aged, 80 and over MeSH
- Aged MeSH
- Female MeSH
- Publication type
- English Abstract MeSH
- Journal Article MeSH
Since the year 1989 the authors, surgeons, performed more then 1600 ERCP. In the period of 1992 to 1995 urgent ERCP was indicated in one hundred cases when block of papila Vateri, cholangitis or acute pancreatitis were suspected. Our results in ERCP were: cholangitis with common bile duct stones 14, pancreatitis acuta biliaris 53, pancreatitis acuta nonbiliiaris 28, other diagnosis 1. In 4 cases, ERCP was unsuccessful. Endoscopic papillosphincterotomy (EPS) was indicated in all patients after the successful ERCP with pancreatitis or cholagitis. We achieved success in urgent EPS in 92%. No patient died owing to ERCP or EPS. From our point of view urgent ERCP and EPS are important diagnostical and therapeutical methods in patients with cholangitis and pancreatitis biliaris which may be performed as soon as possible. (in our cases all patients undergo ERCP and EPS no later than six hours after their admission to the hospital). In case of nonbiliaris pancreatitis we prefer and have good results with EPS too, but our number of these patients is too small to be generalized. (Tab. 5, Ref. 13.).