进入十二指肠憩室：一种经憩室内乳头插管的方法。
Entering the duodenal diverticulum: a method for cannulation of the intradiverticular papilla.
机构信息
Department of Gastroenterology, Xinhua Hospital, Shanghai Jiaotong University School of Medicine, Shanghai 200092, China.
出版信息
World J Gastroenterol. 2012 Dec 28;18(48):7394-6. doi: 10.3748/wjg.v18.i48.7394.
Abstract
Successful cannulation of the common bile duct may be difficult in patients in whom the papilla is located entirely within a diverticulum. In this study, we report successful biliary cannulation in three patients following intubation of the distal tip of the duodenoscope into the duodenal diverticulum and locating the major papilla. No complications occurred during the operation or during the postoperative period. This method didn't need second incubation an endoscope and might lower the burden of patients. So this skill is useful to deal with the papilla hidden inside the large diverticulum because of its safety and convenience.
摘要
成功胆管插管可能在乳头完全位于憩室内的患者中较为困难。在本研究中，我们报道了 3 例患者的成功胆道插管经验，具体方法为将十二指肠镜的远端插入十二指肠憩室并找到主乳头，然后插管。手术过程中和术后均未发生并发症。该方法无需再次插入内镜，可降低患者的负担。因此，由于其安全性和便利性，该技术对于处理由于憩室过大而导致的乳头隐匿具有一定价值。
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