Department of Medicine, Division of Gastroenterology, Winthrop University Hospital, Mineola, NY 11507, USA.
Gastroenterol Res Pract. 2013;2013:869214. doi: 10.1155/2013/869214. Epub 2013 Mar 18.
Endoscopic retrograde cholangiopancreatography (ERCP) can fail in 3-10% of the cases even in experienced hands. Although percutaneous transhepatic cholangiography (PTC) and surgery are the traditional alternatives, there are morbidity and mortality associated with both. In this paper, we have discussed the efficacy and safety of endoscopic-ultrasound-guided cholangiopancreatography (EUS-CP) in decompression of biliary and pancreatic ducts. The overall technical and clinical success rates are around 90% for biliary and 70% for pancreatic duct drainage. The overall EUS-CP complication rate is around 15%. EUS-CP is, however, a technically challenging procedure and should be performed by an experienced endoscopist skilled in both EUS and ERCP. Same session EUS-CP as failed initial ERCP is practical and may result in avoidance of additional procedures. With increasing availability of endoscopists trained in both ERCP and EUS, the role of EUS-CP is likely to grow in clinical practice.
即使在经验丰富的医生手中，内镜逆行胰胆管造影术（ERCP）的成功率也只有 3-10%。尽管经皮经肝穿刺胆道造影术（PTC）和手术是传统的替代方法，但它们都存在一定的发病率和死亡率。本文讨论了超声内镜引导下胆胰管造影术（EUS-CP）在胆管和胰管减压中的疗效和安全性。胆管引流的总体技术成功率和临床成功率约为 90%，胰管引流的成功率约为 70%。EUS-CP 的总体并发症发生率约为 15%。然而，EUS-CP 是一项技术挑战性的操作，应由既精通 EUS 又精通 ERCP 的经验丰富的内镜医生来进行。在初次 ERCP 失败时进行同期 EUS-CP 是可行的，并且可能避免了额外的操作。随着接受 ERCP 和 EUS 双重培训的内镜医生的增加，EUS-CP 在临床实践中的作用可能会增加。
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