胃和食管解剖结构改变患者的外套管辅助内镜逆行胰胆管造影术
Overtube-assisted ERCP in patients with altered gastric and esophageal anatomy.
作者信息
Nawras Ali T, Catalano Marc F, Alsolaiman Mohammad M, Rosenblatt Mark L
机构信息
Pancreatic Biliary Center, St. Luke's Medical Center, Milwaukee, Wisconsin, USA.
出版信息
Gastrointest Endosc. 2002 Sep;56(3):426-30. doi: 10.1016/s0016-5107(02)70055-2.
INTRODUCTION
ERCP has been a significant advance in the diagnosis and treatment of pancreatic and biliary diseases. However, anatomic variations may prevent successful ERCP.
METHODS
Advancement of a duodenoscope during ERCP was impeded in 4 patients by anatomic alterations of the esophagus and/or the stomach. The overtube, 80 cm length, was used to allow passage of a duodenoscope to the papilla.
RESULTS
All overtube assisted ERCP procedures were completed successfully and included sphincterotomy (2), bile duct stone extraction (2), and placement of a metal expandable stent (1).
CONCLUSION
Use of an overtube allows safe and successful passage of a duodenoscope in patients with anatomic alterations of the esophagus and/or the stomach.
引言
内镜逆行胰胆管造影术（ERCP）在胰腺和胆道疾病的诊断和治疗方面取得了重大进展。然而，解剖变异可能会妨碍ERCP的成功实施。
方法
在4例患者中，由于食管和/或胃的解剖结构改变，十二指肠镜在ERCP过程中的推进受阻。使用80厘米长的外套管，使十二指肠镜能够通过到达乳头。
结果
所有外套管辅助的ERCP操作均成功完成，包括括约肌切开术（2例）、胆管结石取出术（2例）和金属可扩张支架置入术（1例）。
结论
对于食管和/或胃存在解剖结构改变的患者，使用外套管可使十二指肠镜安全且成功地通过。
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