Advances in endoscopic and surgical intervention for acute biliary pancreatitis_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

GUO Xiaoyu , XIAO Fan ,  WANG Gang , SUN Bei

Department of General Surgery, The First Affiliated Hospital of Harbin Medical University, Harbin 150001, P. R. China;

Corresponding?author：

WANG Gang, Email: wgilu79@163.com

Keywords：

acute biliary pancreatitis; gastrointestinal endoscopic treatment; surgical treatment; review

DOI：

10.7507/1007-9424.201910116

Video：

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Objective To understand advances in the timing and surgical mode selection of gastrointestinal endoscopy and surgical intervention for acute biliary pancreatitis (ABP).Method The recent literatures on the timing and choice of gastrointestinal endoscopy and surgical treatments aimed at ABP were reviewed.Results For ABP patients with early cholangitis or biliary obstruction, no matter how serious, endoscopic treatment should be used to relieve obstruction and relieve symptoms. For patients only with ABP, if non-surgical treatment was not effective and patients showed symptoms such as biliary obstruction or biliary tract infection, endoscopic intervention should be considered. Most ABP patients had milder symptoms and could undergo cholecystectomy during the same hospitalization to prevent ABP recurrence after symptoms relief. Patients with severe ABP could be treated with cholecystectomy along with pancreatic necrotic tissue removal, and surgery should be performed after the disease was controlled. If the preoperative imaging examination highly suspected that there were stones in the biliary tract, biliary exploration should be performed at the same time. Laparoscopic surgery should be selected as far as possible to facilitate the postoperative recovery of the patient.Conclusions For patients with ABP, whether endoscopic or surgical treatment, the timing and surgical mode selection should follow the specific clinical situation with the “individualization” principle of the treatment. We should make the reasonable and effective policy at diagnosis and treatment according to different conditions.

Citation： GUO Xiaoyu, XIAO Fan, WANG Gang, SUN Bei. Advances in endoscopic and surgical intervention for acute biliary pancreatitis. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2020, 27(7): 901-905. doi: 10.7507/1007-9424.201910116 Copy

1.	張啟玲, 趙春梅. 1 例膽源性胰腺炎合并足底黑色毒瘤病人的護理. 循證護理, 2018, 4(3): 285-288.
2.	鄭西, 何文華, 呂農華. 2018 年國際急性胰腺炎研究進展. 中華胰腺病雜志, 2019, 19(4): 241-244.
3.	彭淑牖, 李江濤, 劉笑雷. 急性膽源性胰腺炎的外科治療. 肝膽外科雜志, 2007, 15(1): 7-8.
4.	Almallouhi E, Rahwan M, Kutluay E. Myoclonic status epilepticus as an initial presentation of acute biliary pancreatitis. J Neurol Sci, 2018, 392: 139-141.
5.	鄒善貴, 滿國軍, 張相成. 急性膽源性胰腺炎的發病機制與外科手術時機探討. 中外健康文摘, 2011, 8(14): 67-69.
6.	Papapanagiotou A, Sgourakis G, Peristeraki S, et al. Potential prediction of acute biliary pancreatitis outcome on admission. Pancreas, 2018, 47(4): 454-458.
7.	Lankisch PG, Apte M, Banks PA. Acute pancreatitis. Lancet, 2015, 386(9988): 85-96.
8.	N?jgaard C, Becker U, Matzen P, et al. Progression from acute to chronic pancreatitis: prognostic factors, mortality, and natural course. Pancreas, 2011, 40(8): 1195-1200.
9.	Halász A, Pécsi D, Farkas N, et al. Outcomes and timing of endoscopic retrograde cholangiopancreatography for acute biliary pancreatitis. Dig Liver Dis, 2019, 51(9): 1281-1286.
10.	徐周緯, 王興宇. 膽源性胰腺炎手術時機的選擇及清胰湯應用效果分析. 肝膽外科雜志, 2019, 27(2): 116-118.
11.	孫藝昭. 急性膽源性胰腺炎病情評估及早期治療方法的最新研究進展. 糖尿病天地, 2019, 16(9): 295, 298.
12.	Lerch MM, Saluja AK, Rünzi M, et al. Pancreatic duct obstruction triggers acute necrotizing pancreatitis in the opossum. Gastroenterology, 1993, 104(3): 853-861.
13.	秦亞飛, 王根旺, 趙李飛, 等. 急性膽源性胰腺炎的診療研究進展. 寧夏醫科大學學報, 2019, 41(4): 427-430.
14.	Nowak A, Nowakowska-Dulawa E, Marek A, et al. Final results of the prospective, randomized, controlled study on endoscopic sphincterotomy versus conventional management in acute biliary pancreatitis. Gastroenterology, 1995, 108(4 suppl 1): A380.
15.	Coutinho LMA, Bernardo WM, Rocha RS, et al. Early endoscopic retrograde cholangiopancreatography versus conservative treatment in patients with acute biliary pancreatitis: systematic review and meta-analysis of randomized controlled trials. Pancreas, 2018, 47(4): 444-453.
16.	F?lsch UR, Nitsche R, Lüdtke R, et al. Early ERCP and papillotomy compared with conservative treatment for acute biliary pancreatitis. The German Study Group on Acute Biliary Pancreatitis. N Engl J Med, 1997, 336(4): 237-242.
17.	Lee JK, Jang DK, Kang HW, et al. Feasibility of temporary pancreatic stenting after early endoscopic retrograde cholangiopancreatography in patients with acute biliary pancreatitis. Korean J Gastroenterol, 2017, 70(5): 247-252.
18.	譚軍塘. 梗阻型急性膽源性胰腺炎的治療方式及手術時機的選擇. 當代醫學, 2016, 22(3): 61-62.
19.	Ridtitid W, Kulpatcharapong S, Piyachaturawat P, et al. The impact of empiric endoscopic biliary sphincterotomy on future gallstone-related complications in patients with non-severe acute biliary pancreatitis whose cholecystectomy was deferred or not performed. Surg Endosc, 2019, 33(10): 3325-3333.
20.	Robbins R, Qureshi WA. ERCP and elective cholecystectomy are safe in pregnant patients with acute biliary pancreatitis. Gastrointest Endosc, 2019, 89(6): 1178-1179.
21.	辛民志, 桑暢野. 不同手術時機治療膽源性胰腺炎臨床療效及安全性觀察. 健康必讀, 2019, (5): 26-27.
22.	Kucserik LP, Márta K, Vincze á, et al. Endoscopic sphincterotoMy for delayIng choLecystectomy in mild acute biliarY pancreatitis (EMILY study): protocol of a multicentre randomised clinical trial. BMJ Open, 2019, 9(7): e025551.
23.	Svatoň R, Kala Z, Novotny I, et al. The timing of ERCP in acute biliary pancreatitis. Rozhl Chir, 2019, 98(1): 10-13.
24.	Zakko L, Gardner TB. Endoscopic management of recurrent acute pancreatitis. Clin Gastroenterol Hepatol, 2019, 17(11): 2167-2170.
25.	中華醫學會消化病學分會胰腺疾病學組, 《中華胰腺病雜志》編輯委員會, 《中華消化雜志》編輯委員會, 等. 中國急性胰腺炎診治指南(2013, 上海). 中華胰腺病雜志, 2013, 13(2): 73-78.
26.	Yokoe M, Takada T, Mayumi T, et al. Japanese guidelines for the management of acute pancreatitis: Japanese Guidelines 2015. J Hepatobiliary Pancreat Sci, 2015, 22(6): 405-432.
27.	張奇, 孫備. 梗阻型膽源性胰腺炎內鏡治療時機的選擇. 中國普通外科雜志, 2008, 17(3): 203-206.
28.	陳希銘, 孟憲志. 急性膽源性胰腺炎行膽囊切除術時機的選擇. 腹部外科, 2019, 32(3): 230-233.
29.	Lee HS, Chung MJ, Park JY, et al. Urgent endoscopic retrograde cholangiopancreatography is not superior to early ERCP in acute biliary pancreatitis with biliary obstruction without cholangitis. PLoS One, 2018, 13(2): e0190835.
30.	Crockett SD, Wani S, Gardner TB, et al. American gastroenterological association institute guideline on initial management of acute pancreatitis. Gastroenterology, 2018, 154(4): 1096-1101.
31.	劉永合. 早期微創膽囊切除治療合并急性輕型膽源性胰腺炎的膽囊結石療效探討. 中國中西醫結合外科雜志, 2019, 25(4): 600-602.
32.	Degrate L, Bernasconi DP, Meroni P, et al. Mild acute biliary pancreatitis: the timing of cholecystectomy should not exceed index admission. Minerva Chir, 2017, 72(5): 383-390.
33.	于鐵夫. 膽石性急性胰腺炎手術方式與時機選擇分析. 中國保健營養, 2019, 29(6): 85.
34.	谷艷秋. 腹腔鏡治療膽原性胰腺炎的術后個體化護理措施及患者滿意度評價. 中國保健營養, 2019, 29(20): 231-232.
35.	Kelly TR, Wagner DS. Gallstone pancreatitis: a prospective randomized trial of the timing of surgery. Surgery, 1988, 104(4): 600-605.
36.	王春友, 李非. 急性胰腺炎診治指南(2014). 臨床肝膽病雜志, 2015, 31(1): 17-20.
37.	湯親青, 方茂勇. 41 例急性膽源性胰腺炎行腹腔鏡膽囊切除術與膽囊切除術療效分析和手術時機體會. 肝膽外科雜志, 2015, 23(3): 176-178.
38.	劉振寬. 淺談應用普外科手術治療膽源性急性胰腺炎的治療時機及效果. 健康必讀, 2019, (18): 235-236.
39.	Garg SK, Bazerbachi F, Sarvepalli S, et al. Why are we performing fewer cholecystectomies for mild acute biliary pancreatitis? Trends and predictors of cholecystectomy from the National Readmissions Database (2010-2014). Gastroenterol Rep (Oxf), 2019, 7(5): 331-337.

1. 張啟玲, 趙春梅. 1 例膽源性胰腺炎合并足底黑色毒瘤病人的護理. 循證護理, 2018, 4(3): 285-288.
2. 鄭西, 何文華, 呂農華. 2018 年國際急性胰腺炎研究進展. 中華胰腺病雜志, 2019, 19(4): 241-244.
3. 彭淑牖, 李江濤, 劉笑雷. 急性膽源性胰腺炎的外科治療. 肝膽外科雜志, 2007, 15(1): 7-8.
4. Almallouhi E, Rahwan M, Kutluay E. Myoclonic status epilepticus as an initial presentation of acute biliary pancreatitis. J Neurol Sci, 2018, 392: 139-141.
5. 鄒善貴, 滿國軍, 張相成. 急性膽源性胰腺炎的發病機制與外科手術時機探討. 中外健康文摘, 2011, 8(14): 67-69.
6. Papapanagiotou A, Sgourakis G, Peristeraki S, et al. Potential prediction of acute biliary pancreatitis outcome on admission. Pancreas, 2018, 47(4): 454-458.
7. Lankisch PG, Apte M, Banks PA. Acute pancreatitis. Lancet, 2015, 386(9988): 85-96.
8. N?jgaard C, Becker U, Matzen P, et al. Progression from acute to chronic pancreatitis: prognostic factors, mortality, and natural course. Pancreas, 2011, 40(8): 1195-1200.
9. Halász A, Pécsi D, Farkas N, et al. Outcomes and timing of endoscopic retrograde cholangiopancreatography for acute biliary pancreatitis. Dig Liver Dis, 2019, 51(9): 1281-1286.
10. 徐周緯, 王興宇. 膽源性胰腺炎手術時機的選擇及清胰湯應用效果分析. 肝膽外科雜志, 2019, 27(2): 116-118.
11. 孫藝昭. 急性膽源性胰腺炎病情評估及早期治療方法的最新研究進展. 糖尿病天地, 2019, 16(9): 295, 298.
12. Lerch MM, Saluja AK, Rünzi M, et al. Pancreatic duct obstruction triggers acute necrotizing pancreatitis in the opossum. Gastroenterology, 1993, 104(3): 853-861.
13. 秦亞飛, 王根旺, 趙李飛, 等. 急性膽源性胰腺炎的診療研究進展. 寧夏醫科大學學報, 2019, 41(4): 427-430.
14. Nowak A, Nowakowska-Dulawa E, Marek A, et al. Final results of the prospective, randomized, controlled study on endoscopic sphincterotomy versus conventional management in acute biliary pancreatitis. Gastroenterology, 1995, 108(4 suppl 1): A380.
15. Coutinho LMA, Bernardo WM, Rocha RS, et al. Early endoscopic retrograde cholangiopancreatography versus conservative treatment in patients with acute biliary pancreatitis: systematic review and meta-analysis of randomized controlled trials. Pancreas, 2018, 47(4): 444-453.
16. F?lsch UR, Nitsche R, Lüdtke R, et al. Early ERCP and papillotomy compared with conservative treatment for acute biliary pancreatitis. The German Study Group on Acute Biliary Pancreatitis. N Engl J Med, 1997, 336(4): 237-242.
17. Lee JK, Jang DK, Kang HW, et al. Feasibility of temporary pancreatic stenting after early endoscopic retrograde cholangiopancreatography in patients with acute biliary pancreatitis. Korean J Gastroenterol, 2017, 70(5): 247-252.
18. 譚軍塘. 梗阻型急性膽源性胰腺炎的治療方式及手術時機的選擇. 當代醫學, 2016, 22(3): 61-62.
19. Ridtitid W, Kulpatcharapong S, Piyachaturawat P, et al. The impact of empiric endoscopic biliary sphincterotomy on future gallstone-related complications in patients with non-severe acute biliary pancreatitis whose cholecystectomy was deferred or not performed. Surg Endosc, 2019, 33(10): 3325-3333.
20. Robbins R, Qureshi WA. ERCP and elective cholecystectomy are safe in pregnant patients with acute biliary pancreatitis. Gastrointest Endosc, 2019, 89(6): 1178-1179.
21. 辛民志, 桑暢野. 不同手術時機治療膽源性胰腺炎臨床療效及安全性觀察. 健康必讀, 2019, (5): 26-27.
22. Kucserik LP, Márta K, Vincze á, et al. Endoscopic sphincterotoMy for delayIng choLecystectomy in mild acute biliarY pancreatitis (EMILY study): protocol of a multicentre randomised clinical trial. BMJ Open, 2019, 9(7): e025551.
23. Svatoň R, Kala Z, Novotny I, et al. The timing of ERCP in acute biliary pancreatitis. Rozhl Chir, 2019, 98(1): 10-13.
24. Zakko L, Gardner TB. Endoscopic management of recurrent acute pancreatitis. Clin Gastroenterol Hepatol, 2019, 17(11): 2167-2170.
25. 中華醫學會消化病學分會胰腺疾病學組, 《中華胰腺病雜志》編輯委員會, 《中華消化雜志》編輯委員會, 等. 中國急性胰腺炎診治指南(2013, 上海). 中華胰腺病雜志, 2013, 13(2): 73-78.
26. Yokoe M, Takada T, Mayumi T, et al. Japanese guidelines for the management of acute pancreatitis: Japanese Guidelines 2015. J Hepatobiliary Pancreat Sci, 2015, 22(6): 405-432.
27. 張奇, 孫備. 梗阻型膽源性胰腺炎內鏡治療時機的選擇. 中國普通外科雜志, 2008, 17(3): 203-206.
28. 陳希銘, 孟憲志. 急性膽源性胰腺炎行膽囊切除術時機的選擇. 腹部外科, 2019, 32(3): 230-233.
29. Lee HS, Chung MJ, Park JY, et al. Urgent endoscopic retrograde cholangiopancreatography is not superior to early ERCP in acute biliary pancreatitis with biliary obstruction without cholangitis. PLoS One, 2018, 13(2): e0190835.
30. Crockett SD, Wani S, Gardner TB, et al. American gastroenterological association institute guideline on initial management of acute pancreatitis. Gastroenterology, 2018, 154(4): 1096-1101.
31. 劉永合. 早期微創膽囊切除治療合并急性輕型膽源性胰腺炎的膽囊結石療效探討. 中國中西醫結合外科雜志, 2019, 25(4): 600-602.
32. Degrate L, Bernasconi DP, Meroni P, et al. Mild acute biliary pancreatitis: the timing of cholecystectomy should not exceed index admission. Minerva Chir, 2017, 72(5): 383-390.
33. 于鐵夫. 膽石性急性胰腺炎手術方式與時機選擇分析. 中國保健營養, 2019, 29(6): 85.
34. 谷艷秋. 腹腔鏡治療膽原性胰腺炎的術后個體化護理措施及患者滿意度評價. 中國保健營養, 2019, 29(20): 231-232.
35. Kelly TR, Wagner DS. Gallstone pancreatitis: a prospective randomized trial of the timing of surgery. Surgery, 1988, 104(4): 600-605.
36. 王春友, 李非. 急性胰腺炎診治指南(2014). 臨床肝膽病雜志, 2015, 31(1): 17-20.
37. 湯親青, 方茂勇. 41 例急性膽源性胰腺炎行腹腔鏡膽囊切除術與膽囊切除術療效分析和手術時機體會. 肝膽外科雜志, 2015, 23(3): 176-178.
38. 劉振寬. 淺談應用普外科手術治療膽源性急性胰腺炎的治療時機及效果. 健康必讀, 2019, (18): 235-236.
39. Garg SK, Bazerbachi F, Sarvepalli S, et al. Why are we performing fewer cholecystectomies for mild acute biliary pancreatitis? Trends and predictors of cholecystectomy from the National Readmissions Database (2010-2014). Gastroenterol Rep (Oxf), 2019, 7(5): 331-337.

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