穿孔位于何处？内镜逆行胰胆管造影术的罕见并发症。

Where is the Perforation ? Rare Complication of Endoscopic Retrograde Cholangio Pancreatography.

作者信息

Singh A K, Malla B R, Gurung R B

机构信息

Department of Surgery, Dhulikhel Hospital, Kathmandu University Hospital, Dhulikhel, Kavre, Nepal.

Department of Internal Medicine, Dhulikhel Hospital, Kathmandu University Hospital, Dhulikhel, Kavre, Nepal.

出版信息

Kathmandu Univ Med J (KUMJ). 2019 Apr-Jun;17(66):154-157.

PMID:32632067

Abstract

Perforation is one of the most feared complications of Endoscopic Retrograde Cholangio Pancreatography (ERCP). ERCP has become important method for treating biliary-pancreatic diseases. Perforation related with Endoscopic Retrograde Cholangio Pancreatography is an infrequent, but if happens is a severe complication. Reported incidence of Edoscopic Retrograde Cholangio Pancreatography related perforation is 0.3-6%. Its mortality is as high as 37.5%. In our hospital since 2010 AD, There were 6 Perforations related to Endoscopic Retrograde Cholangio Pancreatography done in 4787 cases. This is a case of Endoscopic Retrograde Cholangio Pancreatography related perforation with no site of perforation recognized during surgical management.

摘要

穿孔是内镜逆行胰胆管造影术（ERCP）最可怕的并发症之一。ERCP已成为治疗胆胰疾病的重要方法。与内镜逆行胰胆管造影术相关的穿孔并不常见，但一旦发生就是严重的并发症。报道的内镜逆行胰胆管造影术相关穿孔的发生率为0.3%-6%。其死亡率高达37.5%。自公元2010年以来，我院在4787例内镜逆行胰胆管造影术中发生了6例相关穿孔。这是一例内镜逆行胰胆管造影术相关穿孔病例，手术处理过程中未发现穿孔部位。