Moreels Tom G
Department of Gastroenterology & Hepatology, Antwerp University Hospital, Wilrijkstraat 10, 2650 Antwerp, Belgium.
Curr Gastroenterol Rep. 2013 Sep;15(9):343. doi: 10.1007/s11894-013-0343-3.
Endoscopic retrogade cholangiopancreatography (ERCP) is a standard of care endoscopic technique using a conventional side-viewing duodenoscope to treat a wide variety of biliopancreatic pathologies. However, surgically altered gastric and/or small bowel anatomy renders ERCP more challenging because of several reasons. Depending on the type of surgical reconstruction, different endoscopic approaches have been developed in order to perform therapeutic ERCP. The current review highlights the latest ERCP developments to deal with biliopancreatic problems in patients with surgically altered anatomy, and discusses future directions of improvement.
内镜逆行胰胆管造影术（ERCP）是一种标准的内镜治疗技术，使用传统的侧视十二指肠镜来治疗各种胆胰疾病。然而，由于多种原因，手术改变的胃和/或小肠解剖结构使ERCP更具挑战性。根据手术重建的类型，已经开发了不同的内镜方法来进行治疗性ERCP。本综述重点介绍了在手术改变解剖结构的患者中处理胆胰问题的ERCP最新进展，并讨论了未来的改进方向。
