Effects of pancreatic stent number on the management of recurrent chronic pancreatitis in children and adolescents

中华消化内镜杂志 Pub Date : 2019-03-20 DOI:10.3760/CMA.J.ISSN.1007-5232.2019.03.007

Wei Jiang, Zhuqing Gao, M. Cui, Yongjun Wang

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Abstract

Objective To investigate the effects of changing the pancreatic stent number based on the last procedure on the prognosis of children and adolescents with recurrent chronic pancreatitis. Methods Data of 11 pediatric patients (3-16 years old) with chronic pancreatitis, undergoing ERCP for at least twice were retrospectively analyzed. Based on whether the number of stents changed in the second procedure, patients were divided into the control group(more than once and no change in the number), and the changing group(more than once and change in the stent number in the second procedure). The hospitalization and surgery percentage and number of hospitalizations due to abdominal pain in follow-up period were compared to study whether number change of stents was efficient to cure pediatric patients with chronic pancreatitis. Results Eleven pediatric patients undergoing at least 2 ERCP procedures were recruited into our group. The hospitalization percentages were 140%(n=7) and 33.3%(n=2) in the control group(n=5) and the changing group (n=6) respectively(P<0.001). The number of hospitalizations due to abdominal pain was 1.5 and 0.8 in the control group and the changing group respectively (P<0.001). The percentage of patient hospitalizations due to abdominal pain significantly reduced in the changing group (P=0.003). Conclusion Increase in pancreatic stent number in the second procedure in pediatric patients can decrease hospital admissions related to the pancreatitis. Key words: Pancreatitis, chronic; Stents; Cholangiopancreatography, endoscopic retrograde; Adolescent

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胰腺支架数量对儿童和青少年复发性慢性胰腺炎治疗的影响

目的探讨在最后一次手术基础上改变胰腺支架数量对儿童青少年复发性慢性胰腺炎患者预后的影响。方法回顾性分析11例(3 ~ 16岁)接受两次以上ERCP治疗的慢性胰腺炎患儿的资料。根据第二次手术中支架数量是否发生变化，将患者分为对照组(多于一次且支架数量不变)和改变组(多于一次且支架数量在第二次手术中发生变化)。比较随访期间因腹痛住院手术比例及住院次数，研究改变支架数量对小儿慢性胰腺炎患者是否有效。结果11例接受2次以上ERCP手术的儿童患者入组。对照组(n=5)和改变组(n=6)的住院率分别为140%(n=7)和33.3%(n=2) (P<0.001)。对照组因腹痛住院1.5次，改变组因腹痛住院0.8次(P<0.001)。改变组因腹痛住院的患者比例显著降低(P=0.003)。结论在小儿第二次手术中增加胰腺支架数量可降低胰腺炎住院率。关键词:胰腺炎，慢性;支架;胆管造影，内镜逆行;青少年

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来源期刊

中华消化内镜杂志

CiteScore

0.10

自引率

0.00%

发文量

7555

期刊介绍： Chinese Journal of Digestive Endoscopy is a high-level medical academic journal specializing in digestive endoscopy, which was renamed Chinese Journal of Digestive Endoscopy in August 1996 from Endoscopy. Chinese Journal of Digestive Endoscopy mainly reports the leading scientific research results of esophagoscopy, gastroscopy, duodenoscopy, choledochoscopy, laparoscopy, colorectoscopy, small enteroscopy, sigmoidoscopy, etc. and the progress of their equipments and technologies at home and abroad, as well as the clinical diagnosis and treatment experience. The main columns are: treatises, abstracts of treatises, clinical reports, technical exchanges, special case reports and endoscopic complications. The target readers are digestive system diseases and digestive endoscopy workers who are engaged in medical treatment, teaching and scientific research. Chinese Journal of Digestive Endoscopy has been indexed by ISTIC, PKU, CSAD, WPRIM.