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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.

DOI:10.1080/08998280.2018.1499315
PMID:30948982
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6413967/
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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本文引用的文献

1
A multicenter, U.S. experience of single-balloon, double-balloon, and rotational overtube-assisted enteroscopy ERCP in patients with surgically altered pancreaticobiliary anatomy (with video).多中心、美国经验：单气囊、双气囊和旋转外套管辅助进镜内镜逆行胰胆管造影术在外科改变的胰胆解剖结构患者中的应用（附视频）。
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2
Therapeutic endoscopic retrograde cholangiography and cholangioscopy (ERCC) combining a single-balloon enteroscope and an ultraslim endoscope in altered gastrointestinal anatomy.在改变的胃肠道解剖结构中，使用单气囊小肠镜和超薄内镜联合进行治疗性内镜逆行胆管造影和胆管镜检查（ERCC）。
Endoscopy. 2012;44 Suppl 2 UCTN:E349-50. doi: 10.1055/s-0032-1310032. Epub 2012 Sep 27.
3
Direct cholangioscopy combined with double-balloon enteroscope-assisted endoscopic retrograde cholangiopancreatography.直接胆管镜检查联合双气囊小肠镜辅助内镜逆行胰胆管造影术。
World J Gastroenterol. 2012 Jul 28;18(28):3765-9. doi: 10.3748/wjg.v18.i28.3765.
4
Single-step direct cholangioscopy by freehand intubation using standard endoscopes for diagnosis and therapy of biliary diseases.经内镜徒手操作胆管插管行一步法直接胆管镜检查用于胆道疾病的诊断和治疗。
Am J Gastroenterol. 2012 Jul;107(7):1030-5. doi: 10.1038/ajg.2012.88. Epub 2012 Apr 17.
5
Double-balloon-enteroscopy-based endoscopic retrograde cholangiopancreatography in post-surgical patients.基于双气囊小肠镜的内镜逆行胰胆管造影术在外科手术后患者中的应用。
World J Gastroenterol. 2011 May 14;17(18):2302-14. doi: 10.3748/wjg.v17.i18.2302.
6
Direct cholangioscopy using a double-balloon enteroscope: choledochojejunostomy with intraductal biliary carcinoma.使用双气囊小肠镜行直接胆管镜检查：胆管内胆管癌胆肠吻合术。
Dig Endosc. 2010 Oct;22(4):319-21. doi: 10.1111/j.1443-1661.2010.01013.x.
7
Peroral cholangioscopy: new approach with a balloon enteroscope.经口胆管镜检查：使用气囊小肠镜的新方法。
Endoscopy. 2008 Sep;40 Suppl 2:E234. doi: 10.1055/s-2008-1077676. Epub 2008 Nov 7.