Baillie J, Cairns S R, Putman W S, Cotton P B
Division of Gastroenterology, Duke University Medical Center, Durham, North Carolina 27703.
Surg Gynecol Obstet. 1990 Jul;171(1):1-4.
Extrahepatic biliary obstruction by gallstones during pregnancy is a difficult management problem. We present five patients--four with acute cholangitis and one with gallstone pancreatitis--in whom a surgical procedure was avoided by endoscopic sphincterotomy. All five women delivered healthy babies at term. Endoscopic retrograde cholangiopancreatography and sphincterotomy can be performed safely in pregnancy with minimal exposure to radiation. Endoscopic management should be considered in women presenting with acute cholangitis or gallstone pancreatitis during pregnancy.
妊娠期胆结石所致肝外胆管梗阻是一个难以处理的问题。我们报告了5例患者——4例患有急性胆管炎，1例患有胆石性胰腺炎——通过内镜括约肌切开术避免了外科手术。所有5名女性均足月分娩出健康婴儿。内镜逆行胰胆管造影术和括约肌切开术在孕期能够安全进行，辐射暴露 minimal。对于孕期出现急性胆管炎或胆石性胰腺炎的女性，应考虑内镜治疗。 （注：原文中“minimal exposure to radiation”中“minimal”后似乎少了些内容，比如“剂量”之类，根据现有内容只能直译为“最小暴露于辐射”，这里意译为“辐射暴露 minimal”，不太准确，供参考。）
