Significance of the 4-hours post-ERCP serum amylase level to predict post-ERCP pancreatitis /
اهمية قياس نسبة انزيم الاميليز في الدم بعد 4 ساعات من منظار القنوات المرارية في التشخيص المبكر لالتهاب البنكرياس
Hesham Mohammed Mohammed Alkassar ; Supervised Hussein Okasha , Ahmed Morad
- Cairo : Hesham Mohammed Mohammed Alkassar , 2012
- 142 P. : charts , facsimiles ; 25cm
Thesis (Ph.D.) - Cairo University - Faculty of Medicine - Department of Internal Medicine
Background: ERCP is a very important therapeutic tool and Acute Pancreatitis remains the most common and feared complication. The recognition of the risk factors for post ERCP pancreatitis and the high risk patients is highly desirable & in this study we evaluate the relation between post ERCP serum amylase level and the incidence of post procedure acute pancreatitis. Patients and methods: The study was performed on 100 patients exposed to the ERCP in endoscopy unit of internal medicine hospital, Kasr Al-Ainy Hospitals either therapeutic or diagnostic and a blood sample for serum amylase 4 hour later was measured and then the patients were followed up for occurrence of acute pancreatitis. Results: 9% of the patients developed acute pancreatitis with a positive correlation was found between the incidence of pancreatitis and 4- hours post ERCP amylase level & the study showed high incidence of pancreatitis with other ERCP parameters. Conclusions: Similar to other studies ,it was found that 4 hours post ERCP serum amylase level estimation is helpful to guide us and to predict patients with high risk of acute pancreatitis