Riff Brian P, Chandrasekhara Vinay
Division of Gastroenterology, Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place, Box 1069, New York, NY 10029, USA.
Division of Gastroenterology, University of Pennsylvania Perelman School of Medicine, 3400 Civic Center Boulevard, Perelman Center for Advanced Medicine South Pavilion, 7th Floor, Philadelphia, PA 19104, USA.
Gastroenterol Clin North Am. 2016 Mar;45(1):45-65. doi: 10.1016/j.gtc.2015.10.009.
Endoscopic retrograde cholangiopancreatography is an effective platform for a variety of therapies in the management of benign and malignant disease of the pancreas. Over the last 50 years, endotherapy has evolved into the first-line therapy in the majority of acute and chronic inflammatory diseases of the pancreas. As this field advances, it is important that gastroenterologists maintain an adequate knowledge of procedure indication, maintain sufficient procedure volume to handle complex pancreatic endotherapy, and understand alternate approaches to pancreatic diseases including medical management, therapy guided by endoscopic ultrasonography, and surgical options.
内镜逆行胰胆管造影术是治疗胰腺良恶性疾病的多种疗法的有效平台。在过去50年里，内镜治疗已发展成为大多数胰腺急慢性炎症性疾病的一线治疗方法。随着该领域的发展，胃肠病学家必须充分了解手术适应症，保持足够的手术量以处理复杂的胰腺内镜治疗，并了解胰腺疾病的其他治疗方法，包括药物治疗、内镜超声引导下的治疗和手术选择。
