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[急性胰腺炎与诊断和治疗性内镜逆行胰胆管造影术]

[Acute pancreatitis and diagnostic and therapeutic endoscopic retrograde cholangiopancreatography].

作者信息

Aparcero M, Antonio González J, Olmos I, Monasterios D, Ollarves D, Carrillo N, Carrasquero O, Argotte R, Martí P, Záger A

出版信息

G E N. 1989 Jan-Mar;43(1):39-45.

PMID:2518019
Abstract

Urgent endoscopic retrograde cholangiopancreatography in acute pancreatitis allows to detect associated biliary disease, display the bilio-pancreatic anatomy to plan optional early surgery and offer an alternative in the treatment with endoscopic sphincterotomy and/or infundibulotomy, in cases of choledocholithiasis and impacted stone at the ampulla of Vater. In relation to the prevalence of biliary lesions in the etiology of acute pancreatitis, the urgent ERCP is a safe and useful procedure that offer diagnosis and treatment, so therefore, it must be considered during the evaluation of patients with acute pancreatitis.

摘要

急性胰腺炎患者紧急行内镜逆行胰胆管造影术,有助于发现相关胆道疾病,显示胆胰解剖结构以规划选择性早期手术,并在胆总管结石及 Vater 壶腹嵌顿结石病例中,通过内镜括约肌切开术和/或壶腹切开术提供治疗选择。鉴于急性胰腺炎病因中胆道病变的发生率,紧急内镜逆行胰胆管造影术是一种安全有效的诊断和治疗方法,因此,在评估急性胰腺炎患者时应予以考虑。

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