Deviere Jacques
Department of Gastroenterology, Hepatopancreatology and Digestive Oncology, Erasme University Hospital, Université Libre de Bruxelles, Route de Lennik 808, B-1070 Brussels, Belgium.
Gastrointest Endosc Clin N Am. 2011 Jul;21(3):499-510, ix. doi: 10.1016/j.giec.2011.04.011.
Use of stents in the pancreas has been confined and limited to referral centers that specialize in the treatment of patients with severe pancreatitis and acute relapsing pancreatitis. With therapeutic development in endoscopic treatment of pancreatic diseases and a better understanding of the cause and prevention of ERCP related complications, the use of stents has been extended to transmural drainage of pancreatic fluid collection or of pancreatic ducts has well as to prophylaxis of post-ERCP pancreatitis. As a result, indication for pancreatic stenting and the kind of stents to be used as well as the followup after placement varies. This article reviews the major indication for pancreatic stent placement and focuses on the choice of stent, technique of implantation and followup.
胰腺支架的使用一直局限于专门治疗重症胰腺炎和急性复发性胰腺炎患者的转诊中心。随着胰腺疾病内镜治疗的发展以及对ERCP相关并发症病因和预防的更好理解，支架的使用已扩展至胰液积聚或胰管的经壁引流以及预防ERCP术后胰腺炎。因此，胰腺支架置入的适应证、所用支架的种类以及置入后的随访情况各不相同。本文回顾了胰腺支架置入的主要适应证，并重点关注支架的选择、植入技术及随访。
