Ross Andrew S
Digestive Disease Institute, Virginia Mason Medical Center, Seattle, WA 98101, USA.
Gastrointest Endosc Clin N Am. 2009 Jul;19(3):497-507. doi: 10.1016/j.giec.2009.04.009.
Endoscopic retrograde cholangiopancreatography (ERCP) in the patient with altered intestinal anatomy secondary to surgery presents significant challenges to the endoscopist. Navigating anastamoses, cannulation using a forward viewing endoscope in a retrograde position and use of specialized instruments encompass just a few of the unique issues which arise when attempting ERCP in patients with surgically altered anatomy. This article focuses on instruments, technique and a review of the published literature to date on performing ERCP in this group of patients.
对于因手术导致肠道解剖结构改变的患者，内镜逆行胰胆管造影术（ERCP）给内镜医师带来了重大挑战。在逆行位置使用前视内镜进行吻合口导航、插管以及使用专门器械，只是在手术改变解剖结构的患者中尝试进行ERCP时出现的一些独特问题。本文重点介绍器械、技术以及对迄今为止发表的关于该组患者进行ERCP的文献综述。
