Akcakaya Adem, Koc Bora, Adas Gokhan, Kemik Ozgur
Hepatogastroenterology. 2014 Mar-Apr;61(130):296-8.
Cholangitis and pancreatitis are the most gruesome complications that can be potentially fatal for the mother and fetus. The management of bile stone disease complicated with duct stones during pregnancy is challenging. Conservative treatment instead of surgery has always been advocated due to the increased risk for fetal compromise. Minimally invasive therapy with ERCP has been suggested as an effective therapeutic option for the management of pancreaticobiliary diseases during pregnancy. The main topics of discussion are the risks stemming from the endoscopic procedure itself, drugs used for sedation and the adverse effects of radiation exposure on the fetus. In this manuscript, we want to present the efficiency and feasibility of the ERCP for the management of hepatobiliary and pancreatic diseases in pregnancy.
胆管炎和胰腺炎是最可怕的并发症，可能对母亲和胎儿都有致命危险。孕期胆结石病合并胆管结石的处理具有挑战性。由于胎儿受影响风险增加，一直提倡采用保守治疗而非手术治疗。有人提出，内镜逆行胰胆管造影术（ERCP）微创治疗是孕期处理胰胆疾病的有效治疗选择。主要讨论的话题是内镜操作本身带来的风险、用于镇静的药物以及辐射暴露对胎儿的不良影响。在本论文中，我们想阐述ERCP用于孕期处理肝胆和胰腺疾病的有效性和可行性。
