Objective To analyze the effect of pancreatic duct stenting on the prognosis and complications of acute biliary pancreatitis(ABP).Methods A total of 300 ABP patients admitted from January 2019 to December 2022 were selected.They were grouped according to different treatment methods,involving 100 patients treated with simple nasobiliary drainage in group A,100 patients treated with open common bile duct exploration combined with T-tube drainage in group B,and 100 patients treated with nasobiliary drainage combined with pancreatic duct stent placement in group C.Liver function,complications,mortality and recovery in the three groups were compared.Results Postoperative total bilirubin(TBIL),aspartate aminotransferase(AST),and alanine aminotransferase(ALT)levels in group B were significantly lower than those of group A(P<0.05),which,in group C were significantly lower than those of group A and B(P<0.05).The time to resume feeding,temperature recovery and hospitalization in group B were significantly shorter than those of group A(P<0.05),the time to resume feeding,abdominal pain disappearance,temperature recovery,hospitalization in group C were significantly shorter than those of group A and group B(P<0.05).The complication rate(4.00%vs 12.00%,P<0.05)and mortality(1.00%vs 8.00%,P<0.05)were significantly lower in group C than those of group A.Conclusion The application of pancreatic duct stenting in ABP patients can have shortened recovery time,facilitate improvement of liver function,and lower mortality rate and incidence of complications.
pancreatic duct stentingacute biliary pancreatitistotal bilirubinbile leakagenasobiliary drainageopen common bile duct exploration
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