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减重手术后的内镜逆行胰胆管造影术——文献综述与病例报告

ERCP after bariatric surgery--literature review and case report.

作者信息

Iorgulescu A, Turcu F, Iordache N

机构信息

General Surgery Clinic, "Sf. Ioan" Hospital, Bucharest.

出版信息

J Med Life. 2014 Sep 15;7(3):339-42. Epub 2014 Sep 25.

PMID:25408751
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4233435/
Abstract

Obesity is a disease which has become more prevalent in Romania. Bariatric surgical procedures are among the treatment options for obese patients. Obesity and the metabolic disorders induced by it are risk factors for gallstones formation and their complications. ERCP is a minimally invasive therapeutic procedure indicated in the treatment of choledochal lithiasis and its complications. ERCP is generally considered the most difficult endoscopic procedure from the technical point of view. The authors have proposed to consider the possibility of performing therapeutic ERCP in patients who have undergone bariatric procedures. Literature data are reviewed and the case of a patient treated in a minimally invasive (laparoendoscopic) way for cholecyst and choledocholithiasis after longitudinal gastrectomy is presented.

摘要

肥胖是一种在罗马尼亚愈发普遍的疾病。减肥外科手术是肥胖患者的治疗选择之一。肥胖及其引发的代谢紊乱是胆结石形成及其并发症的危险因素。内镜逆行胰胆管造影术(ERCP)是一种用于治疗胆总管结石及其并发症的微创治疗方法。从技术角度来看,ERCP通常被认为是最具难度的内镜操作。作者们提议考虑对接受过减肥手术的患者进行治疗性ERCP的可能性。本文回顾了文献数据,并呈现了一例在接受纵向胃切除术后以微创(腹腔镜内镜联合)方式治疗胆囊和胆总管结石的患者病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c06a/4233435/0076ed925222/JMedLife-07-339-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c06a/4233435/83e30da45f65/JMedLife-07-339-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c06a/4233435/ceeb25e77d67/JMedLife-07-339-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c06a/4233435/3110668ef8bc/JMedLife-07-339-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c06a/4233435/0e780347dcfc/JMedLife-07-339-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c06a/4233435/0076ed925222/JMedLife-07-339-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c06a/4233435/83e30da45f65/JMedLife-07-339-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c06a/4233435/ceeb25e77d67/JMedLife-07-339-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c06a/4233435/3110668ef8bc/JMedLife-07-339-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c06a/4233435/0e780347dcfc/JMedLife-07-339-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c06a/4233435/0076ed925222/JMedLife-07-339-g005.jpg

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ERCP after bariatric surgery--literature review and case report.减重手术后的内镜逆行胰胆管造影术——文献综述与病例报告
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本文引用的文献

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Surgical gastrostomy for pancreatobiliary and duodenal access following Roux en Y gastric bypass.Roux-en-Y 胃旁路术后经皮胃造口术用于胰胆和十二指肠入路。
J Gastrointest Surg. 2009 Dec;13(12):2170-5. doi: 10.1007/s11605-009-0991-7. Epub 2009 Sep 24.
2
Predictors of gallstone formation after bariatric surgery: a multivariate analysis of risk factors comparing gastric bypass, gastric banding, and sleeve gastrectomy.减重手术后胆结石形成的预测因素:比较胃旁路手术、胃束带术和袖状胃切除术风险因素的多变量分析
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Laparoscopy-assisted ERCP after biliopancreatic diversion.
减重手术的胸部并发症:被忽视的情况
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Intraoperative transjejunal ERCP: case reports.术中经空肠内镜逆行胰胆管造影术:病例报告
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Access to the bypassed stomach after gastric bypass.胃旁路术后对旷置胃的处理
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Gallstone formation after rapid weight loss: a prospective study in patients undergoing gastric bypass surgery for treatment of morbid obesity.快速减重后胆结石的形成:一项针对接受胃旁路手术治疗病态肥胖患者的前瞻性研究。
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