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[内镜逆行胰胆管造影术的并发症]

[Complications of endoscopic retrograde cholangiopancreatography].

作者信息

Plewka Magdalena, Rysz Jacek, Kujawski Kryzsytof

机构信息

WAM University Hospital, Medical University of Lodz, Poland: Chair and Department of Nephrology, Hypertension and Family Medicine.

WAM University Hospital, Medical University of Lodz, Poland: Gastrointestinal Endoscopy Laboratory.

出版信息

Pol Merkur Lekarski. 2017 Dec 22;43(258):272-275.

Abstract

Endoscopic retrograde cholangiopancreatography (ERCP) is a common procedure of the diagnosis and treatment of biliary and pancreatic diseases. ERCP combines both endoscopic and radiologic imaging. Despite the fact that it is widely considered as relatively safe and useful procedure when performed by an experienced endoscopist, ERCP may potentially result in complications due to its invasive nature. These complications vary in severity and include post-ERCP pancreatitis, cholangitis, hemorrhage and perforations of the gastrointestinal tract. Therefore, the selection of patients and their appropriate preparation before the procedure as well as the careful consideration of indications are highly required.

摘要

内镜逆行胰胆管造影术(ERCP)是一种诊断和治疗胆道及胰腺疾病的常用方法。ERCP结合了内镜检查和放射成像技术。尽管由经验丰富的内镜医师进行操作时,ERCP被广泛认为是相对安全且有用的方法,但因其侵入性,仍可能引发并发症。这些并发症严重程度各异,包括ERCP术后胰腺炎、胆管炎、出血以及胃肠道穿孔。因此,术前对患者的选择及其适当准备,以及对适应证的谨慎考量都极为必要。

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