Simon D M, Brooks W S, Hersh T
Department of Medicine, Emory University School of Medicine, Atlanta, Georgia.
Am J Gastroenterol. 1989 Mar;84(3):213-9.
Endoscopic sphincterotomy is the procedure of choice for choleducolithiasis post-cholecystectomy, and in poor-surgical-risk patients with the gallbladder still present. Sphincterotomy indications have been expanded to include acute biliary pancreatitis, acute cholangitis, and choleducolithiasis removal prior to definitive surgery. This paper will review the available literature and make recommendations on these new indications.
内镜括约肌切开术是胆囊切除术后胆总管结石的首选治疗方法，对于手术风险高且胆囊仍存在的患者也是如此。括约肌切开术的适应症已扩大到包括急性胆源性胰腺炎、急性胆管炎以及在确定性手术前取出胆总管结石。本文将回顾现有文献并就这些新适应症提出建议。
