Reasons for and prevention of iatrogenic traumatic pancreatitis:a report of 18 cases / 中华肝胆外科杂志

ABSTRACT

Objective To investigate the reasons for and preventing measures of iatrogenic traumatic pancreatitis after epigastric operations and ERCP.Methods The clinic data of 18 cases of iatrogenie traumatic pancreatitis treated in our hospital from January 1992 to December 2006 were retrospectively analyzed.Results The disease occurred 12 cases after operation and in 6 after ERCP.The iatrogenic traumatic pancreatitis after epigastric operations or ERCP mostly occurred in 1-4 d after the operation.Twelve patients underwent conservative therapy(66.7%)and 6 reoperation(33.3%).Sixteen patients were cured and 2 died of the multiple organ failure after reoperation.Conclusion This complication iS related to the operative skill and expertise.The preventing measures include suitable operative handling,proficiency in technique and drug lessening excretion of pancreatic juice.Conservative therapy is of the first choice unless there is a state of illness alteration.