Mickisch O, Manegold B C
Abteilung für Endoskopie, Fakultät für Klinische Medizin, Universität Heidelberg.
Z Gastroenterol. 1992 Jun;30(6):428-30.
In this report we refer to a 88-years old female patient who was admitted to our hospital under the diagnosis of cholecysto- and choledocholithiasis. Due to clinical symptoms, general performance status and sonographically proven dilated bile ducts emergency-ERCP was performed by an experienced endoscopist. Unfortunately esophageal perforation occurred due to subsequently diagnosed hiatus hernia. Potential pitfalls during examination as well as a concept of problem management during endoscopies with side-view optics will be discussed.
在本报告中，我们提及一位88岁的女性患者，她因胆囊及胆总管结石病被收治入我院。鉴于临床症状、一般身体状况以及超声检查证实的胆管扩张，一位经验丰富的内镜医师进行了急诊内镜逆行胰胆管造影（ERCP）。不幸的是，随后诊断出的食管裂孔疝导致了食管穿孔。我们将讨论检查过程中的潜在陷阱以及使用侧视光学内镜进行内镜检查时的问题处理理念。
