内镜逆行胰胆管造影术后并发症研究进展
Research Advances of Complications after Endoscopic Retrograde Cholangiopancreatography
摘要: 自从20世纪60年代内镜逆行胰胆管造影术(ERCP)被首次报道以来,ERCP经过数十年的发展,已经成为胆道胰腺疾病常见的诊疗方法,ERCP相比传统手术具有创伤小、恢复快等优点。然而,ERCP术后并发症也需引起重视,常见的ERCP术后并发症有胰腺炎、出血、穿孔等,本文就ERCP术后常见并发症的危险因素、预防及治疗做一综述,为内镜医师做参考。
Abstract: Since endoscopic retrograde cholangiopancreatography (ERCP) was first reported in the 1960s, ERCP has become a common diagnosis and treatment method for biliary and pancreatic diseases after decades of development. Compared with traditional surgery, ERCP has less trauma and the patients recover quickly. However, the complications after ERCP also need to be paid attention to. Common complications after ERCP include pancreatitis, bleeding, perforation, etc. This article discusses the risk factors, prevention and treatment of common complications after ERCP as a reference for endoscopists.
文章引用:陈钱, 丁雄. 内镜逆行胰胆管造影术后并发症研究进展[J]. 临床医学进展, 2022, 12(2): 1055-1061. https://doi.org/10.12677/ACM.2022.122155

参考文献

[1] McCune, W., Shorb, P. and Moscovitz, H. (1968) Endoscopic Cannulation of the Ampulla of Vater: A Preliminary Report. Annals of Surgery, 167, 752-756. [Google Scholar] [CrossRef] [PubMed]
[2] 岳平, 孟文勃, 李汛. 内镜逆行胰胆管造影相关罕见并发症及处理对策[J]. 中国实用外科杂志, 2018, 38(8): 938-941.
[3] Bhatt, H. (2021) Post-Endoscopic Retrograde Cholangiopancreatography Pancreatitis: An Updated Review of Current Preventive Strategies. Clinical and Experimental Gastroenterology, 14, 27-32. [Google Scholar] [CrossRef
[4] Cotton, P., Lehman, G., Vennes, J., et al. (1991) Endoscopic Sphincterotomy Complications and Their Management: An Attempt at Consensus. Gastrointestinal endoscopy, 37, 383-393. [Google Scholar] [CrossRef
[5] 刘国栋, 罗东, 肖瑶, 肖广发, 周军, 李宜雄. 内镜逆行性胰胆管造影术后并发症分析: 附461例报告[J]. 中国普通外科杂志, 2015, 24(9): 1275-1280.
[6] Dumonceau, J., Andriulli, A., Elmunzer, B., et al. (2014) Prophylaxis of Post-ERCP Pancreatitis: European Society of Gastrointestinal Endoscopy (ESGE) Guideline—Updated June 2014. Endoscopy, 46, 799-815. [Google Scholar] [CrossRef] [PubMed]
[7] Dumonceau, J., Kapral, C., Aabakken, L., et al. (2020) ERCP-Related Adverse Events: European Society of Gastrointestinal Endoscopy (ESGE) Guideline. Endoscopy, 52, 127-149. [Google Scholar] [CrossRef] [PubMed]
[8] 李谦益. 内镜逆行胰胆管造影发生术后并发症的防治进展[J]. 外科理论与实践, 2020, 25(4): 344-348.
[9] Ding, X., Zhang, F. and Wang Y (2015) Risk Factors for Post-ERCP Pancreatitis: A Systematic Review and Meta-Analysis. The Surgeon, 13, 218-229. [Google Scholar] [CrossRef] [PubMed]
[10] Hwang, H., Guidi, M., Curvale, C., et al. (2017) Post-ERCP Pancreatitis: Early Precut or Pancreatic Duct Stent? A Multicenter, Randomized-Controlled Trial and Cost-Effectiveness Analysis. Revista espanola de enfermedades digestivas, 109, 174-179. [Google Scholar] [CrossRef] [PubMed]
[11] Sotoudehmanesh, R., Ali-Asgari, A., Khatibian, M., et al. (2019) Pharmacological Prophylaxis versus Pancreatic Duct Stenting plus Pharmacological Prophylaxis for Prevention of Post-ERCP Pancreatitis in High Risk Patients: A Randomized Trial. Endoscopy, 51, 915-921. [Google Scholar] [CrossRef] [PubMed]
[12] 谷保红, 李雪梅, 胡继科, 张凡, 鲁娟娟, 陈昊. ERCP术后胰腺炎的预防策略[J]. 中南大学学报(医学版), 2019, 44(2): 209-215.
[13] 郭学刚, 罗辉, 郑亮. ERCP术后胰腺炎的预防策略[J]. 中国实用外科杂志, 2017, 37(8): 853-860.
[14] 饶赛赛, 张俊文. 鼻胆管引流术在预防ERCP术后并发症中的意义及其引流时间的研究[J]. 重庆医学, 2016, 45(13): 1801-1802+1859.
[15] Phillip, V., Pukitis, A., Epstein, A., et al. (2019) Pancreatic Stenting to Prevent Post-ERCP Pancreatitis: A Randomized Multicenter Trial. Endoscopy International Open, 7, E860-E868. [Google Scholar] [CrossRef] [PubMed]
[16] Geraci, G., Palumbo, V., D’Orazio, B., et al. (2019) Rectal Diclofenac Administration for Prevention of Post-Endoscopic Retrograde Cholangio-Pancreatography (ERCP) Acute Pancreatitis. Randomized Prospective Study. La Clinica terapeutica, 170, e332-e336.
[17] Katoh, T., Kawashima, K., Fukuba, N., et al. (2020) Low-Dose Rectal Diclofenac Does Not Prevent Post-ERCP Pancreatitis in Low- or High-Risk Patients. Journal of Gastroenterology and Hepatology, 35, 1247-1253. [Google Scholar] [CrossRef] [PubMed]
[18] Thiruvengadam, N. and Kochman, M. (2020) Emerging Therapies to Prevent Post-ERCP Pancreatitis. Current Gastroenterology Reports, 22, Article No. 59. [Google Scholar] [CrossRef] [PubMed]
[19] Smeets, X., da Costa, D., Fockens, P., et al. (2018) Fluid Hydration to Prevent Post-ERCP Pancreatitis in Average- to High-Risk Patients Receiving Prophylactic Rectal NSAIDs (FLUYT Trial): Study Protocol for a Randomized Controlled Trial. Trials, 19, Article No. 207. [Google Scholar] [CrossRef] [PubMed]
[20] Radadiya, D., Devani, K., Arora, S., et al. (2019) Peri-Procedural Aggressive Hydration for Post Endoscopic Retrograde Cholangiopancreatography (ERCP) Pancreatitis Prophylaxsis: Meta-Analysis of Randomized Controlled Trials. Pancreatology, 19, 819-827. [Google Scholar] [CrossRef] [PubMed]
[21] 杜奕奇, 陈其奎, 李宏宇, 等. 中国急性胰腺炎诊治指南(2019年, 沈阳) [J]. 临床肝胆病杂志, 2019, 35(12): 2706-2711.
[22] 李鹏, 王拥军, 王文海. 中国ERCP指南(2018版) [J]. 中国医刊, 2018, 53(11): 1185-1215+1180.
[23] Talukdar, R. (2016) Complications of ERCP. Best Practice Research. Clinical Gastroenterology, 30, 793-805. [Google Scholar] [CrossRef] [PubMed]
[24] Cotton, P., Eisen, G., Aabakken, L., et al. (2010) A Lexicon for Endoscopic Adverse Events: Report of an ASGE Workshop. Gastrointestinal Endoscopy, 71, 446-454. [Google Scholar] [CrossRef] [PubMed]
[25] Masuda, S., Koizumi, K., Nishino, T., et al. (2021) Direct Oral Anticoagulants Increase Bleeding Risk after Endoscopic Sphincterotomy: A Retrospective Study. BMC Gastroenterology, 21, Article No. 401. [Google Scholar] [CrossRef] [PubMed]
[26] Bernshteyn, M., Hu, L., Masood, U., et al. (2021) Vsretrospective Analysis of Complications Related to Endoscopic Retrograde Cholangio-Pancreatography in Patients with Cirrhosis Patients without Cirrhosis. World Journal of Hepatology, 13, 472-482. [Google Scholar] [CrossRef] [PubMed]
[27] 李俊梅, 李芸, 魏芳. ERCP术后并发胆道出血的危险因素及防护[J]. 西部医学, 2012, 24(3): 600-602.
[28] Veitch, A., Radaelli, F., Alikhan, R., et al. (2021) Endoscopy in Patients on Antiplatelet or Anticoagulant Therapy: British Society of Gastroenterology (BSG) and European Society of Gastrointestinal Endoscopy (ESGE) Guideline Update. Gut, 70, 1611-1628. [Google Scholar] [CrossRef] [PubMed]
[29] 李甫, 吉建梅, 龚彪, 等. 止血夹预防高危出血患者ERCP术后迟发性出血的临床效果[J]. 肝胆胰外科杂志, 2020, 32(6): 341-345+384.
[30] Vezakis, A., Fragulidis, G. and Polydorou, A. (2015) Endoscopic Retrograde Cholangiopancreatography-Related Perforations: Diagnosis and Management. World Journal of Gastrointestinal Endoscopy, 7, 1135-1141. [Google Scholar] [CrossRef] [PubMed]
[31] Stapfer, M., Selby, R., Stain, S., et al. (2000) Management of Duodenal Perforation after Endoscopic Retrograde Cholangiopancreatography and Sphincterotomy. Annals of Surgery, 232, 191-198. [Google Scholar] [CrossRef] [PubMed]
[32] Wu, J., Tsai, H., Chen, C., et al. (2020) Computed Tomography Classification of Endoscopic Retrograde Cholangiopancreatography-Related Perforation. The Kaohsiung Journal of Medical Sciences, 36, 129-134. [Google Scholar] [CrossRef] [PubMed]
[33] Zhu, G., Hu, F. and Wang, C. (2021) Recent Advances in Prevention and Management of Endoscopic Retrograde Cholangiopancreatography-Related Duodenal Perforation. Wideochirurgia i inne techniki maloinwazyjne, 16, 19-29. [Google Scholar] [CrossRef] [PubMed]
[34] Shi, D., Yang, J. and Liu, Y. (2019) Retracted: Endoscopic Treatment of Endoscopic Retrograde Cholangiopancreatography-Related Duodenal Perforations. Journal of Laparoendoscopic & Advanced Surgical Techniques, 29, 385-391. [Google Scholar] [CrossRef] [PubMed]
[35] 高永平, 魏建, 郑雅梅. ERCP术后感染的病因病原学分析[J]. 中国老年学杂志, 2013, 33(10): 2402-2403.
[36] 姚晓群, 武勋. ERCP术后胆道感染危险因素及ENBD预防效果[J]. 中华医院感染学杂志, 2021(24): 3757-3761.
[37] Deutsch, L., Matalon, S., Phillips, A., et al. (2020) Older Age, Longer Procedures and Tandem Endoscopic-Ultrasound as Risk Factors for Post-Endoscopic Retrograde Cholangiopancreatography Bacteremia. World Journal of Gastroenterology, 26, 6402-6413. [Google Scholar] [CrossRef] [PubMed]
[38] 绽丽, 杨冬华, 马晓丽, 张永栋. 经内镜逆行胰胆管造影术后发生感染影响因素分析及患者经济负担研究[J]. 西北国防医学杂志, 2020, 41(5): 297-302.
[39] 尹红, 罗保平, 李春亭. ERCP术后胆道感染分析[J]. 西南国防医药, 2016, 26(5): 539-541.
[40] 杨淮丽, 袁苑, 张宗敏. ERCP术后发生胆道感染的危险因素分析[J]. 肝胆外科杂志, 2019, 27(4): 302-304.