内镜胆道疾病诊治：诊断与治疗。

Endoscopic management of biliary disorders: diagnostic and therapeutic.

机构信息

Division of Gastroenterology and Hepatology, University of North Carolina, 41041 Bioinformatics Boulevard, CB 7080, Chapel Hill, NC 27599-0001, USA.

出版信息

Surg Clin North Am. 2014 Apr;94(2):395-411. doi: 10.1016/j.suc.2013.12.005. Epub 2014 Jan 23.

DOI:10.1016/j.suc.2013.12.005

PMID:24679428

Abstract

The use of peroral endoscopy in the diagnosis of and therapy for biliary disorders has evolved immensely since the introduction of flexible fiberoptic endoscopes more than 50 years ago. Endoscopic retrograde cholangiopancreatography was introduced approximately a decade after flexible upper endoscopy and has evolved from a purely diagnostic procedure to almost exclusively a therapeutic procedure for managing biliary tract disorders. Endoscopic ultrasound, which continues to be a procedure of high diagnostic yield, is becoming a therapeutic modality for management of biliary diseases. This article discusses the diagnostic and therapeutic aspects of endoscopic retrograde cholangiopancreatography and endoscopic ultrasound for evaluation and treatment of biliary diseases.

摘要

自 50 多年前引入软性纤维内镜以来，经口内镜下胆道检查在胆道疾病的诊断和治疗中的应用已经有了巨大的发展。大约在上消化道内镜出现 10 年后，内镜逆行胰胆管造影术（ERCP）被引入，并且已经从一个纯粹的诊断程序演变为几乎完全用于治疗胆道疾病的治疗程序。超声内镜（EUS），继续是一种具有高诊断率的程序，正在成为治疗胆道疾病的一种治疗方式。本文讨论了内镜逆行胰胆管造影术和内镜超声检查在胆道疾病评估和治疗中的诊断和治疗方面。