Outcomes of delayed endoscopic retrograde cholangiopancreatography in patients with acute biliary pancreatitis with cholangitis.

摘要: Abstract Objective The recommended treatment for acute biliary pancreatitis(ABP) with cholangitis is urgent endoscopic retrograde cholangiopancreatography(ERCP). However, tight schedules in the endoscopy room mean that ERCP may not always be performed. This study aimed to compare outcomes of early (≤72 h) and delayed(>72 h) patients ABP cholangitis. Methods Ninety-five diagnosed who underwent between May 2012 April 2018 were retrospectively reviewed. Results Sixty-seven patients(70.5%) classified 28(29.5%) delayed groups. There was no significant difference pancreatitis severity Total bilirubin higher compared late group (5.7 ± 5.2 versus 3.5 ± 2.3 mg/dL, p = 0.03). Fewer had end-stage renal disease (0 3, p = 0.006) relatively fewer took aspirin (15(22.4%) 12(42.9%), p = 0.04). differences groups terms mortality (2(3.0%) 0), disease-related complications(11 (16.4%) 5(17.9%), p = 0.86), or ERCP-related complications(5(7.5%) 3(10.7%), p = 0.60). total length stay(LoS) shorter group(6.3 ± 4.4 9.8 ± 6.1 days, p = 0.002). rate complete stone removal lower group(32/42(76.2%) 18/18(100%), p = 0.02). Conclusion Delayed can performed selected cholangitis, similar complication rates but longer LoS ERCP.