Suga T, Kawa S, Horiuchi A, Nakamura N, Mukawa K, Akamatsu T, Kiyosawa K
Second Department of Internal Medicine, Shinshu University School of Medicine, Matsumoto, Japan.
J Gastroenterol Hepatol. 2000 Feb;15(2):220-4. doi: 10.1046/j.1440-1746.2000.02071.x.
To facilitate pancreatic stone retrieval, four patients with chronic pancreatitis and pancreatic stones underwent endoscopic pancreatic sphincter balloon dilation (EPSBD) rather than pancreatic sphincterotomy. Extracorporeal shock wave lithotripsy combined with endoscopic removal was carried out in three patients. Stone removal following EPSBD was completely successful in all four patients. Patients showed no severe complications during the dilation procedure. In one patient, to prevent pancreatitis, an endoscopic nasopancreatic drain was placed for 1 week after EPSBD. Compared with pancreatic sphincterotomy, EPSBD can be performed safely in patients with chronic pancreatitis to assist in the extraction of pancreatic duct stones. Use of the EPSBD procedure in cases of chronic pancreatitis provides a useful approach to improve endoscopic clearance of pancreatic duct stones.
为便于取出胰腺结石，4例慢性胰腺炎合并胰腺结石患者接受了内镜下胰管括约肌球囊扩张术（EPSBD）而非胰管括约肌切开术。3例患者接受了体外冲击波碎石术联合内镜下取石。所有4例患者经EPSBD后结石取出均完全成功。患者在扩张过程中未出现严重并发症。1例患者为预防胰腺炎，在EPSBD后放置了1周的内镜下鼻胰管引流管。与胰管括约肌切开术相比，EPSBD可安全应用于慢性胰腺炎患者以辅助取出胰管结石。在慢性胰腺炎病例中使用EPSBD程序为提高内镜下清除胰管结石提供了一种有用的方法。
