预防ERCP术后胰腺炎：不同操作技术的进展
Prevention of Post-ERCP Pancreatitis: Pro-gress in Different Procedural Techniques
DOI: 10.12677/ACM.2022.12111460, PDF,   
作者: 张永烜：青海大学研究生院，青海 西宁；任 利*：青海大学附属医院肝胆胰外科，青海 西宁
关键词: 内镜逆行胰胆管造影；ERCP术后胰腺炎；导丝引导插管技术；Endoscopic Retrograde Cholangiopancreatography； Post-ERCP Pancreatitis； Wire-Guided Cannula-tion
摘要: 内镜逆行胰胆管造影是治疗胰胆管疾病的重要技术。然而，治疗性ERCP仍与各种并发症有关，如ERCP术后胰腺炎、胆管炎、出血、胆囊炎和穿孔。此外，为了安全、成功地进行ERCP手术，最初选择性的胆管或胰腺插管是必要的，以减少潜在的并发症。选择性胆道插管仍有5%至10%的患者失败，尽管有多种内镜技术可用。为了克服插管困难，在不增加并发症发生率的情况下，设计了各种插管技术和设备。这篇文章就不同操作技术对于术后并发症的发生进行全面概述。
Abstract: Endoscopic retrograde cholangiopancreatography (ERCP) is an important technique for the treat-ment of pancreaticobiliary diseases. However, therapeutic ERCP is still associated with various complications, such as post-ERCP pancreatitis, cholangitis, hemorrhage, cholecystitis, and perfora-tion. In addition, for a safe and successful ERCP procedure, initial selective bile duct or pancreatic cannulation is necessary to reduce potential complications. Selective biliary cannulation still fails in 5% to 10% of patients despite the availability of multiple endoscopic techniques. To overcome the difficulty of intubation, a variety of intubation techniques and devices have been designed without increasing the incidence of complications. This article provides a comprehensive overview of dif-ferent surgical techniques for the occurrence of postoperative complications.
文章引用：张永烜, 任利. 预防ERCP术后胰腺炎：不同操作技术的进展[J]. 临床医学进展, 2022, 12(11): 10124-10129. https://doi.org/10.12677/ACM.2022.12111460

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