Severe Acute Biliary Pancreatitis
Conditions
Interventions
Endoscope:ICU routine intervention + ERCP therapy
Control group:ICU routine treatment alone
Surgery group:ICU routine intervention + surgery therapy
Sponsors
West China Hospital,Sichuan University
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Patients who were admitted into ICU within 72 hours of onset; 2. Main symptoms: acute epigastric pain with / without nausea and vomit, fever; 3. Main signs: obvious abdominal muscular tension, tenderness and rebound tenderness; 4. Biochemical tests: blood amylase, lipase, white blood cells, glucose, urea nitrogen, hepatic function (bilirubin); all these tests have abnormal changes; 5. Gallstone or gallstone with / without cholangiectasis confirmed by imaging examinations such as B-ultrasound and CT scan; history of cholecystectomy for gallstone; imaging manifestations of acute pancreatitis.
Exclusion criteria
Exclusion criteria: 1. Admission after 72 hours of onset; 2. Without obvious signs mentioned above; 3. Non-biliary.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Number of death;Remission time of abdominal pain and peritoneal irritation sign; | — |
Secondary
| Measure | Time frame |
|---|---|
| Days of hospitalization;Laboratory index; | — |
Countries
China
Contacts
Public ContactChengwei Tang
Outcome results
None listed