Department of Gastroenterology & Hepatology, Johns Hopkins Medical Institutions, Baltimore, MD, USA.
Digestive Disease Institute, Virginia Mason Medical Center, Seattle, WA, USA.
Gastrointest Endosc Clin N Am. 2022 Jul;32(3):563-582. doi: 10.1016/j.giec.2022.02.001. Epub 2022 May 11.
Endoscopic retrograde cholangiopancreatography (ERCP) is the standard treatment of biliary disease with high success rates of greater than 90% in patients with standard anatomy. However, alterations in upper gastrointestinal anatomy can significantly complicate endoscopic biliary intervention. The past decade has seen significant advances in the endoscopic management of patients with altered anatomy. This review article will provide tips and tricks for successful biliary access in the most common surgical alterations with a focus on the management of biliary diseases following Roux-en-Y (RY) reconstructions.
经内镜逆行胰胆管造影术（ERCP）是治疗胆道疾病的标准方法，在解剖结构正常的患者中成功率超过 90%。然而，上消化道解剖结构的改变会显著增加内镜下胆道介入治疗的难度。过去十年中，内镜处理解剖结构异常患者的技术取得了显著进步。本文回顾性文章将提供在最常见的手术改变中成功进行胆道入路的技巧和窍门，重点介绍 Roux-en-Y（RY）重建术后胆道疾病的处理。
