Kwak H, Darmas B, Nutt M
Department of General Surgery, Royal Gwent Hospital, Newport, UK.
Ann R Coll Surg Engl. 2009 Jul;91(5):W7-9. doi: 10.1308/147870809X401029.
Endoscopic duodenal polypectomy is a routine procedure particularly useful for obtaining histological diagnosis but it is not without serious complications. This is a case report of severe necrotising pancreatitis after duodenal polypectomy. We suggest that experienced endoscopists should carry out polypectomies and that clear guidelines for the management of duodenal polyps are required. Patients undergoing endoscopic duodenal polypectomies should be placed at the beginning of the endoscopy list and observed for at least 4 h.
内镜下十二指肠息肉切除术是一种常规手术,对获取组织学诊断特别有用,但并非没有严重并发症。本文报告一例十二指肠息肉切除术后发生严重坏死性胰腺炎的病例。我们建议应由经验丰富的内镜医师进行息肉切除术,并且需要有明确的十二指肠息肉管理指南。接受内镜下十二指肠息肉切除术的患者应排在内镜检查名单的首位,并至少观察4小时。