上消化道解剖结构改变情况下的单气囊小肠镜逆行胰胆管造影术
Single-balloon enteroscopic retrograde cholangiopancreatography in the setting of altered upper gastrointestinal anatomy.
作者信息
Smith Steven, Stagg Joshua, Naumann Christopher
机构信息
Department of Internal Medicine, Scott & White Medical CenterTempleTexas.
Department of Gastroenterology, Scott & White Medical CenterTempleTexas.
出版信息
Proc (Bayl Univ Med Cent). 2018 Oct 26;31(4):467-469. doi: 10.1080/08998280.2018.1499315. eCollection 2018 Oct.
Abstract
Endoscopic retrograde cholangiopancreatography in the setting of altered upper gastrointestinal anatomy presents several procedural challenges. Use of a standard side-viewing duodenoscope is often precluded by the patient's anatomy, thus rendering a limited examination of the ampulla and difficult cannulation of the bile duct. The authors present a case of single-balloon enteroscopy with successful endoscopic retrograde cholangiopancreatography, direct cholangioscopy, and cystic duct stone extraction using only an enteroscope.
摘要
在十二指肠上半部分解剖结构改变的情况下进行内镜逆行胰胆管造影术存在若干操作挑战。患者的解剖结构常使标准侧视十二指肠镜的使用受到限制，进而导致对壶腹的检查受限以及胆管插管困难。作者报告了一例单气囊小肠镜检查病例，该病例仅使用小肠镜就成功进行了内镜逆行胰胆管造影术、直接胆管镜检查及胆囊管结石取出术。
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