Abstract：Objective To investigate the clinical treatment and effect of the acute biliary pancreatitis (ABP) clinical treatment and effect. Methods Clinical data of 34 cases of ABP were retrospectively analyzed. Among them, 18 cases of the incidence of gallstone original, 7 cases of common bile duct stones, gallstones and common bile duct stones in 5 cases, no gallbladder and bile duct stones but 4 cases of common bile duct dilation performance,mild acute pancreatitis in 11 cases, 23 cases of severe acute pancreatitis. Thirty-four cases were treated conservatively, while the implementation of an early invasive treatment, percutaneous transhepatic cholangial drainage(PTCD) 15 cases, 10 cases of gallbladder puncture anddrainage, 4 cases of endoscopic retrograde cholangiopancreatography(ERCP), percutaneous drainage of pancreatic+gallbladder puncture 1 case,percutaneous peripancreatic drainage+PTCD 4 case. Three cases (8.82%) after the implementation of the above treatment without remission emergency surgery(gallbladder removal+common bile duct exploration+T-tube drainage of pancreatic necrotic tissue dissection 1 case, gallbladder removal+common bile duct exploration+T-tube drainage+pancreatic debridement of necrotic tissue and drainage of peripancreatic abdominal decompression surgery+2 cases). Results Three cases of emergency surgery patients, 2 patients were cured without recurrence ABP, 1 case died, 26 cases (76.47%) underwent elective surgery (cholecystectomy in 22 cases, the common bile duct cut +gallbladder removal + T tube drainage 4 cases),during follow-up, no ABP attack again. Four cases (11.76%) patients without underwent surgery, during follow-up, 4 cases had no ABP attack again. One patient after minimally invasive treatment (PTCD) during hospitalization death without surgery ,Full set of concurrent cardiac dysfunction in 15 cases (44.12%), renal dysfunction in 11 patients (32.35%), liver damage in 12 cases (35.29%), acute lung infection in 9 cases (26.47%). 32 cases was cured (94.12%), 2 cases (5.88%) died. Conclusions The treatment of acute gallstone pancreatitis should be individualized according to the different causes and disease stage, early ERCP, Ultrasound-guided percutaneous drainage of the gallbladder or bile duct or pancreatic drainage can significantly improve the results.
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Jiang Hai, Wang Zhengjie, Ji Zhong, Qiu Zhaolei, Liu Chao, Fang Manjun. Analysis of the individualized therapeutic regimen of acute biliary pancreatitis. Chinese Journal of Anatomy and Clinics, 2014, 19(2): 135-137.
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2014, Vol. 19 
