中国实用外科杂志2012，Vol.32Issue(7)：542-545,4.
内镜在急性胆源性胰腺炎治疗中的地位及干预时机
Role of endoscopic therapy in acute biliary pancreatitis
孙思予 1刘文1
作者信息
- 1. 中国医科大学附属盛京医院内镜诊治中心,辽宁沈阳110004
- 折叠
摘要
Abstract
Endoscopic therapy plays an important role in acute biliary pancreatitis (ABP). Endoscopic retrograde cholangiopancreatography (ERCP) and endoscopic ultrasound (EUS) are helpful in diagnosis and further therapy of ABP. Early endoscopic nasobiliary drainage (ENBD) , endoscopic sphincteropapillotomy (EST) and pancreatic duct stent placement can remove biliopancreatic obstruction, reduce pressure of bile duct and pancreatic duct, drain bile and pancreatic juice, release pancreatitis and reduce incidence of complications. However, severe complications such as hemorrhage, perforation, pancreatitis exacerbation and retroperitoneal infection can be caused by endoscopic therapy. Therefore, indications should be strictly controlled. Early ERCP should be performed only in patients with ABP complicated with acute cholangiolitis. Patients with SAP without acute cholangiolitis do not benefit from early ERCP except jejunum nutrition lube, and they should be observed closely.关键词
内镜治疗/急性胆源性胰腺炎/内镜超声Key words
endoscopic therapy/ acute biliary pancreatitis/endoscopic ultrasound分类
医药卫生引用本文复制引用
孙思予,刘文..内镜在急性胆源性胰腺炎治疗中的地位及干预时机[J].中国实用外科杂志,2012,32(7):542-545,4.
