Sahel J, Bastid C, Pellat B, Schurgers P, Sarles H
Pancreas. 1987;2(4):447-53. doi: 10.1097/00006676-198707000-00012.
This paper reports on the technique and results of 20 endoscopic diversions into the duodenum of cysts complicating chronic pancreatitis in 19 patients. The procedure, performed safely on the condition of visualization of a compression of the duodenal wall by the cyst, was successful 18 times in 17 patients. Complications occurred in four patients: two with bleeding (resulting in the death of one patient), two perforations treated successfully, and one transient cholangitis. Long-term results (average = 20.7 months) in 13 patients who were followed more than 6 months were good nine times, fair three times, and bad in one case. Endoscopic cysto-digestive diversion appears as an interesting alternative to surgery in selected patients with chronic pancreatitis.
本文报道了19例慢性胰腺炎合并囊肿患者行20次内镜下囊肿十二指肠分流术的技术及结果。该手术在囊肿压迫十二指肠壁可视的情况下安全实施，17例患者中有18次手术成功。4例患者出现并发症：2例出血（其中1例患者死亡），2例穿孔经成功治疗，1例短暂性胆管炎。13例随访超过6个月的患者长期结果（平均20.7个月）：9例良好，3例尚可，1例不佳。对于部分慢性胰腺炎患者，内镜下囊肿消化分流术似乎是一种有趣的手术替代方案。
