维普中文期刊产品整合服务

Relationship between post-ERCP pancreatitis and the change of serum amylase level after the procedure

查看全文 作　　者：Kei [1]Ito;Naotaka [1]Fujita;Yutaka [1]Noda;Go [1]Kobayashi;Jun [1]Horaguchi;Osamu [1]Takasawa;Takashi [1]Obana 高影响力作者 机构地区：[1]Department of Gastroenterology,Sendai City Medical Center,5-22-1,Tsurugaya,Miyagino-ku,Sendai,Miyagi 983-0824,Japan高影响力机构 出　　处：《World Journal of Gastroenterology》索引2007年第13卷第28期,共6页高影响力期刊 摘　　要：AIM: To clarify the relationship between the change of serum amylase level and post-ERCP pancreatitis. METHODS: Between January 1999 and December 2002, 1291 ERCP-related procedures were performed. Serum amylase concentrations were measured before the procedure and 3, 6, and 24 h afterward. The frequency and severity of post-ERCP pancreatitis and the relationship between these phenomena and the change in amylase level were estimated. RESULTS: Post-ERCP pancreatitis occurred in 47 patients (3.6%). Pancreatitis occurred in 1% of patients with normal amylase levels 3 h after ERCP, and in 1%, 5%, 20%, 31% and 39% of patients with amylase levels elevated 1-2 times, 2-3 times, 3-5 times, 5-10 times and over 10 times the upper normal limit at 3 h after ERCP, respectively (level < 2 times vs ≥ 2 times, P < 0.001). Of the 143 patients with levels higher than the normal limit at 3 h after ERCP followed by elevation at 6 h, pancreatitis occurred in 26%. In contrast, pancreatitis occurred in 9% of 45 patients with a level higher than two times the normal limit at 3 h after ERCP followed by a decrease at 6 h (26% vs 9%, P < 0.05). CONCLUSION: Post-ERCP pancreatitis is frequently associated with an increase in serum amylase level greater than twice the normal limit at 3 h after ERCP with an elevation at 6 h. A decrease in amylase level at 6 h after ERCP suggests the unlikelihood of development of post-ERCP pancreatitis. 关 键 词：急性胰腺炎 内镜逆行胰胆管造影术 血清淀粉酶 血液分析
相关文献

参考文献(24)

引证文献(22)

网站首页 | 关于我们 | 联系我们 | 产品服务 | 客服中心 | 广告服务 | 版权声明 | 网站联盟 | 友情链接 | 售卡网点

版权所有© 渝B2-20050021-1　渝公网安备 50019002500403号　违法和不良信息举报中心

互联网出版许可证 新出网证(渝)字10号 全国400电话 - 免长途话费