Goenka Mahesh Kumar, Rai Vijay Kumar
Institute of Gastro Sciences, Apollo Gleneagles Hospitals, Kolkata, India.
Clin Endosc. 2015 Jan;48(1):20-3. doi: 10.5946/ce.2015.48.1.20. Epub 2015 Jan 31.
The precut sphincterotomy is used to facilitate selective biliary access in cases of difficult biliary cannulation. Needle-knife precut papillotomy is the standard of care but is associated with a high rate of complications such as pancreatitis, duodenal perforation, bleeding, etc. Sometimes during bowing of the sphincterotome/cannula and the use of guide wire to facilitate biliary cannulation, inadvertent formation of a false passage occurs in the 10 to 11 o'clock direction. Use of this step to access the bile duct by the intramucosal incision technique was first described by Burdick et al., and since then two more studies have also substantiated the safety and efficacy of this non-needle type of precut sphincterotomy. In this review, we discuss this non-needle technique of precut sphincterotomy and also share our experience using this "Burdick's technique."
预切开括约肌切开术用于在胆管插管困难的病例中促进选择性胆管进入。针刀预切开乳头括约肌切开术是标准的治疗方法，但与胰腺炎、十二指肠穿孔、出血等并发症的高发生率相关。有时在括约肌切开刀/插管弯曲并使用导丝促进胆管插管过程中，会在10至11点钟方向意外形成假道。Burdick等人首次描述了通过黏膜下切开技术利用这一步骤进入胆管，从那时起，另外两项研究也证实了这种非针刀型预切开括约肌切开术的安全性和有效性。在本综述中，我们讨论这种非针刀预切开括约肌切开术技术，并分享我们使用这种“Burdick技术”的经验。
