Scheeres D E, Simon I, Ponsky J L
Department of Surgery, Case Western Reserve, University School of Medicine, Cleveland, Ohio.
Am Surg. 1990 Mar;56(3):185-91.
Endoscopic retrograde cholangiopancreatography (ERCP) is performed for the diagnosis and therapy of benign and malignant biliary and pancreatic disease. There are few reports in the literature regarding the incorporation of this procedure into a general surgery practice. One hundred seven consecutive ERCPs performed by the same surgeon over a two-year period were reviewed. The most frequent indications for ERCP were jaundice, suspected common bile duct stones, and a history of pancreatitis. Successful cannulation of the ampulla of Vater was achieved in 97 per cent of the cases with the desired duct being adequately visualized in 90 per cent of the cases. Sphincterotomy was performed in 42 per cent of the procedures and common bile duct stones were removed with a balloon or basket catheter. The overall complication rate was seven per cent with no mortality. ERCP accounted for 20 per cent of all endoscopies and 12 per cent of all procedures performed by the surgeon. Twelve per cent of these patients were subsequently operated upon by the surgeon while another 16 per cent requiring surgery were returned to the referring physician. This study supports the feasibility of the incorporation of ERCP into a general surgery practice.
内镜逆行胰胆管造影术（ERCP）用于诊断和治疗良性及恶性胆管和胰腺疾病。关于将该手术纳入普通外科实践的文献报道较少。回顾了同一位外科医生在两年期间连续进行的107例ERCP手术。ERCP最常见的适应证是黄疸、疑似胆总管结石和胰腺炎病史。97%的病例成功插管至十二指肠乳头，90%的病例所需胆管得到充分显影。42%的手术进行了括约肌切开术，并用球囊或网篮导管取出胆总管结石。总体并发症发生率为7%，无死亡病例。ERCP占所有内镜检查的20%，占该外科医生所有手术的12%。这些患者中有12%随后接受了该外科医生的手术，另有16%需要手术的患者转回转诊医生处。这项研究支持了将ERCP纳入普通外科实践的可行性。
