Treatment of pancreatic duct - related disorders diseases - preliminary outcomes of endoscopic retrograde cholangiopancreatography with pancreatic stent placement in the

Mai Thanh Binh1,
1 108 Military Central Hospital

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Abstract

Objective: To provide a preliminary assessment of the efficacy and safety of endoscopic retrograde cholangiopancreatography (ERCP) with pancreatic duct intervention for the treatment of pancreatic duct diseases at 108 Military Central Hospital.
Subjects and Methods: A total of 44 patients with pancreatic duct dilation or pancreatic duct lesions underwent ERCP with pancreatic duct stenting at 108 Military Central Hospital from January 2021 to March 2024.
Results: All patients received plastic stents, with 40 patients receiving one stent and 4 patients receiving two stents. The mean procedure time was 49.4 ± 19.5 minutes, and the average hospital stay was 14.2 ± 9.5 days. The pre-procedure abdominal pain rate was 68.2%, which decreased to 54.5% post-procedure and further dropped to 27.3% at discharge. The pre-procedure fever rate was 20.5%, decreasing to 9.1% post-procedure. Pancreatic enzyme levels (amylase and lipase) showed a decreasing trend after pancreatic stent placement, but the changes were not statistically significant. Adverse events and complications were observed in 13 patients (29.5%), with acute pancreatitis being the most common complication (7/13 patients).
Conclusion: ERCP with pancreatic duct stenting demonstrates a supportive role in managing conditions causing pancreatic duct dilation. It should be considered, particularly for benign diseases such as chronic pancreatitis and pancreatic pseudocysts communicating with the pancreatic duct.

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References

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