摘要
目的探讨解剖困难性内镜十二指肠乳头括约肌切开技术(EST)。方法对38例胃BillrothⅡ式术后、30例十二指肠乳头旁憩室以及8例胰腺分裂型慢性胰腺炎患者进行EST治疗。结果63(82.9%)例EST获成功,13(17.1%)例失败,7(9.2%)例并发中等量以上消化道出血,无肠穿孔和死亡。结论解剖困难性EST技术仍然安全可行。
[Objective] To investigate endoscopic papiliosphincterotomy （EST） with difficuhy in dissection. [Methods] Endoscopic papillosphincterotomy was applied to 38 patients after Billroth-Ⅱ gastroenterostomy, 30 cases with juxtapapillary duodenal diverticula, 8 cases of chronic pancreatitis associated with pancreas divisum. [Results] EST was successfully performed in 63 （82.9%） patients and failed in 13 cases （17.1%）. Seven （9.2%） cases compli- cated medium digestive tract hemorrhage, however, there was no intestinal perforation or death. [ Conclusion ]Endoscopic papiUosphincterotomy can be safely performed in patients with difficulty in dissection.
出处
《中国内镜杂志》
CSCD
北大核心
2009年第11期1187-1189,1192,共4页
China Journal of Endoscopy
关键词
内镜
乳头括约肌切开术
解剖困难
endoscope
endoscopic papillosphincterotomy
difficulty in dissection
