Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN, USA.
Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN, USA.
Gastroenterol Clin North Am. 2024 Dec;53(4):643-661. doi: 10.1016/j.gtc.2024.07.002. Epub 2024 Sep 11.
The evolution of pancreatic endoscopic retrograde cholangiopancreatography (ERCP) has transformed from a diagnostic tool to now a primarily therapeutic modality. Mainly utilized within the spectrum of pancreatitis, pancreatic ERCP can help resolve pancreatic duct (PD) leaks, disruptions, and pancreatic fluid collections. In chronic pancreatitis, ERCP is effective for the treatment of PD strictures and stones with the improvement of pancreatoscopy greatly facilitating targeted therapy. Pancreatoscopy also allows for accurate mapping of main duct intraductal papillary mucinous neoplasms, which can help guide surgical resection.
胰腺内镜逆行胰胆管造影术（ERCP）的发展已经从诊断工具转变为主要的治疗方式。主要用于胰腺炎的治疗，胰腺 ERCP 可以帮助解决胰管（PD）漏、破裂和胰液积聚问题。在慢性胰腺炎中，ERCP 对于 PD 狭窄和结石的治疗非常有效，而胰管镜的改善极大地促进了靶向治疗。胰管镜还可以准确地对主胰管内乳头状黏液性肿瘤进行定位，有助于指导手术切除。
