Pankreatitis pasca endoscopic retrograde choalangiopancreatography dan hubungannya dengan beberapa faktor risiko: studi potong lintang pada pasien endoscopic retrograde choalangio pancreatography
نویسندگان
چکیده
Latar Belakang: Endoscopic Retrograde Cholangiopancreatography (ERCP) adalah tindakan endoskopi untuk diagnostik dan terapi kelainan-kelainan di sistim pankreatobilier. Komplikasi yang paling sering ditemukan pasca pankreatitis akut atau post-ERCP pancreatitis (PEP), dengan spektrum klinis dari ringan sampai berat, memerlukan biaya perawatan besar. Tujuan: Studi ini bertujuan mengetahui faktor-faktor risiko berhubungan kejadian PEP pada pasien-pasien telah menjalani ERCP Rumah Sakit Umum Pusat Sanglah Denpasar. Metode: studi retrospektif melibatkan 118 pasien Januari 2015 Juni 2019. Sebanyak 12 faktor 6 berkaitan prosedur dikumpulkan. Enzim amilase lipase diperiksa 24 jam setelah ERCP. Data kemudian dianalisis secara bivariat multivariat. Hasil: Tingkat keberhasilan kanulasi didapatkan sebesar 77,1% 31,4%. Dari analisis terhadap 18 4 memiliki hubungan signifikan PEP, yaitu batu CBD, keganasan, jumlah upaya waktu (p < 0,05). Hasil multivariat keempat tersebut menunjukkan terdapat dua hasilnya keganasan (OR 4,001, p = 0,040, IK95%: 1,062-15,073) 6,516, 0,045, 1,039-40,874). Simpulan: Adanya melebihi 25 menit merupakan prediktor PEP.
منابع مشابه
Evaluation of remifentanil in endoscopic retrograde cholangio-pancreatography.
BACKGROUND AND OBJECTIVE Endoscopic retrogade cholangio-pancreatography (ERCP) is a painful procedure that requires transient analgesia and conscious sedation. Remifentanil an ultrashort, very potent narcotic, is eliminated by plasma esterases, and does not interfere with liver function. It does not accumulate and is free of residual depression. Our aim is to find out if remifentanil can provid...
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ژورنال
عنوان ژورنال: Jurnal penyakit dalam Udayana (Udayana journal of internal medicine)
سال: 2023
ISSN: ['2580-2933', '2580-2925']
DOI: https://doi.org/10.36216/jpd.v7i1.210