Related risk factors of acute pancreatitis followed by adult congenital biliary dilatation
1.Department of Gastroenterology, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou, 325015; 2.Department of Ultrasound Imaging, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou, 325015
GUAN Huaqin1,XIE Saili2,SUN Xuecheng1, et al. Related risk factors of acute pancreatitis followed by adult congenital biliary dilatation[J]. JOURNAL OF WEZHOU MEDICAL UNIVERSITY, 2015, 45(6): 443-.
Abstract：Objective: To identify the potential risk factors of congenital biliary dilatation (CBD) complicated with acute pancreatitis (AP) in adults. Methods: A total number of 96 patients that diagnosed as CBD in our hospital from February 2002 to April 2014 were retrospectively reviewed, which were divided into two groups, CBD with AP (AP group) and CBD without AP (NAP group). Univariate and multivariate Logistic analysis were conducted to evaluate risk factors complicated with AP. Results: In univariate analysis, significant differences were found between these two groups by biliary calculi, ALT, AST (P<0.05). In logistic regression analysis, only biliary calculi was recognized as the significative factor (P<0.05). CBD combined bile duct stones of group A (Merge large stones A1 group, Merge small stones A2 group); Simple biliary calculi as control group B (large stones B1 group, small stone B2 group). Incidence of acute pancreatitis in A2 group is highest and is significantly higher than that of B2 group and A1 group (P<0.05). Conclusion: Biliary small stones with adult CBD in patients is a risk factor of AP.
