Cotton P B, Lehman G, Vennes J, Geenen J E, Russell R C, Meyers W C, Liguory C, Nickl N
Department of Medicine, Duke University Medical Center, Durham, North Carolina 27710.
Gastrointest Endosc. 1991 May-Jun;37(3):383-93. doi: 10.1016/s0016-5107(91)70740-2.
Despite its relative safety (in comparison with surgery), and undoubted role in many clinical circumstances, biliary sphincterotomy is the most dangerous procedure routinely performed by endoscopists. Complications occur in about 10% of patients; 2 to 3% have a prolonged hospital stay, with a risk of dying. This document is an attempt to provide guidelines for prevention and management of complications, based on a workshop of selected experts, and a comprehensive review of the literature. We emphasize particularly the importance of specialist training, disinfection, drainage, and collaboration with surgical colleagues.
尽管胆管括约肌切开术相对安全（与手术相比），且在许多临床情况下具有不可置疑的作用，但它却是内镜医师常规实施的最危险的操作。约10%的患者会出现并发症；2%至3%的患者住院时间延长，并有死亡风险。本文基于一次选定专家研讨会及对文献的全面综述，试图提供并发症预防和管理的指导原则。我们特别强调专科培训、消毒、引流以及与外科同事协作的重要性。
