内镜逆行胰胆管造影术在改良双轨吻合伴吻合口狭窄中的应用

Endoscopic retrograde cholangiopancretography in modified double tracks anastomosis with anastomotic stenosis.

作者信息

Wang Xiao-Song, Wang Fei, Li Quan-Peng, Miao Lin, Zhang Xiu-Hua

机构信息

Xiao-Song Wang, Fei Wang, Quan-Peng Li, Lin Miao, Xiu-Hua Zhang, Medical Center for Digestive Diseases, the Second Affiliated Hospital of Nanjing Medical University, Nanjing 210011, Jiangsu Province, China.

出版信息

World J Gastrointest Endosc. 2017 Mar 16;9(3):145-148. doi: 10.4253/wjge.v9.i3.145.

DOI:10.4253/wjge.v9.i3.145

PMID:28360977

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5355762/

Abstract

A 63-year-old man presented at our hospital with right upper abdomen pain and fever for 4 d. The patient's magnetic resonance cholangiopancreatography revealed dilated common bile duct and choledocholithiasis. In his past history, he received proximal gastrectomy and modified double tracks anastomosis. Endoscopic retrograde cholangiopancretography in modified double tracks anastomosis, especially accompanied with anastomotic stenosis, has been rarely reported. In the present case, the duodenoscope was successfully introduced over the guidewire and the stone taken out using a basket. The patient had good palliation of his symptoms after removal of the stone.

摘要

一名63岁男性因右上腹疼痛和发热4天前来我院就诊。患者的磁共振胰胆管造影显示胆总管扩张和胆总管结石。既往史中，他接受过近端胃切除术和改良双轨吻合术。关于改良双轨吻合术后的内镜逆行胰胆管造影，尤其是伴有吻合口狭窄的情况，鲜有报道。在本病例中，十二指肠镜经导丝成功插入，并使用网篮取出结石。结石取出后患者症状得到明显缓解。