孕期症状性胆总管结石的内镜治疗，不使用放射检查。

Endoscopic management of symptomatic choledocholithiasis in pregnancy without the use of radiations.

作者信息

Pasquale L, Caserta L, Rispo A, Biondi V, Rossi M, Ciccarelli A, Raffa M, Bevilacqua G

机构信息

Gastroenterology Unit, Ariano Irpino Hospital - ASL-AVI, Ariano Irpino, Avellino, Italy.

出版信息

Eur Rev Med Pharmacol Sci. 2007 Sep-Oct;11(5):343-6.

PMID:18074941

Abstract

We report a case of 26-year-old woman at 10th week of gestation with cholestatic jaundice due to a common bile duct (CBD) stone managed by endoscopical retrograde cholangiopancreatography (ERCP). The procedure was successfully carried out without the use of ionizing radiations and under trans-abdominal ultrasonographical (US) control. A few cases are reported in literature in which ERCP was performed without fluoroscopy examination. We believe that ERCP with US guidance is an effective and safe procedure to treat symptomatic choledocholithiasis in pregnant women.

摘要

我们报告一例妊娠10周的26岁女性，因胆总管结石导致胆汁淤积性黄疸，通过内镜逆行胰胆管造影术（ERCP）进行治疗。该手术在未使用电离辐射且在经腹超声（US）引导下成功完成。文献中报道了少数几例未进行荧光透视检查而实施ERCP的病例。我们认为，在超声引导下进行ERCP是治疗孕妇症状性胆总管结石的一种有效且安全的方法。