经内镜逆行胰胆管造影术在 Roux-en-Y 解剖结构患者中的应用。
Endoscopic retrograde cholangiopancreatography in patients with Roux-en-Y anatomy.
机构信息
Division of Gastroenterology and Hepatology, Mayo Clinic, 200 First Street S.W, Charlton 8A, Rochester, MN 55905, USA.
出版信息
J Hepatobiliary Pancreat Sci. 2011 May;18(3):332-8. doi: 10.1007/s00534-010-0361-6.
INTRODUCTION
Roux-en-Y gastric bypass is increasingly performed in the United States. In addition, liver transplantation and other complex hepatobiliary surgeries are increasingly performed with creation of a Roux-en-Y hepaticojejunostomy. Consequently, endoscopists more frequently need to carry out endoscopic procedures in patients with Roux-en-Y anatomy.
MATERIALS AND METHODS
The present article discusses the techniques and instruments available to therapeutic endoscopists who are faced with the challenge of performing endoscopic retrograde cholangiopancreatography (ERCP) in patients with long- or short-limb Roux-en-Y anatomy.
CONCLUSION
Endoscopists can successfully perform ERCP in patients with Roux-en-Y anatomy by making use of appropriate techniques and instruments.
简介
Roux-en-Y 胃旁路术在美国的应用日益增多。此外，肝移植和其他复杂的肝胆手术也越来越多地采用 Roux-en-Y 胆肠吻合术。因此，内镜医生在治疗患者时，需要经常面对 Roux-en-Y 解剖结构的挑战。
材料与方法
本文讨论了治疗性内镜医生在面对长或短肢 Roux-en-Y 解剖结构的患者进行内镜逆行胰胆管造影术（ERCP）时可用的技术和器械。
结论
内镜医生可以通过使用适当的技术和器械成功地为 Roux-en-Y 解剖结构的患者进行 ERCP。
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