良性胆管狭窄的内镜治疗
Endoscopic management of benign biliary strictures.
作者信息
Visrodia Kavel H, Tabibian James H, Baron Todd H
机构信息
Kavel H Visrodia, Department of Internal Medicine, Mayo Clinic, Rochester, MN 55905, United States.
出版信息
World J Gastrointest Endosc. 2015 Aug 25;7(11):1003-13. doi: 10.4253/wjge.v7.i11.1003.
Abstract
Endoscopic management of biliary obstruction has evolved tremendously since the introduction of flexible fiberoptic endoscopes over 50 years ago. For the last several decades, endoscopic retrograde cholangiopancreatography (ERCP) has become established as the mainstay for definitively diagnosing and relieving biliary obstruction. In addition, and more recently, endoscopic ultrasonography (EUS) has gained increasing favor as an auxiliary diagnostic and therapeutic modality in facilitating decompression of the biliary tree. Here, we provide a review of the current and continually evolving role of gastrointestinal endoscopy, including both ERCP and EUS, in the management of biliary obstruction with a focus on benign biliary strictures.
摘要
自50多年前引入可弯曲纤维内镜以来，胆管梗阻的内镜治疗有了巨大的发展。在过去几十年里，内镜逆行胰胆管造影术（ERCP）已成为明确诊断和缓解胆管梗阻的主要手段。此外，最近，内镜超声检查（EUS）作为一种辅助诊断和治疗方式，在促进胆管减压方面越来越受到青睐。在此，我们综述了胃肠内镜检查（包括ERCP和EUS）在胆管梗阻治疗中目前及不断演变的作用，重点关注良性胆管狭窄。
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