Forbes A, Cotton P B
Gut. 1984 Sep;25(9):971-4. doi: 10.1136/gut.25.9.971.
Endoscopic retrograde cholangiopancreatography (ERCP) procedures are more difficult in patients who have undergone partial gastrectomy with Billroth II anastomosis. Results improve with experience; we have achieved full diagnostic information in only 52% of 63 attempts, but ultimately in 60% of the 53 patients concerned. Therapeutic endeavours were more successful with useful results in eight of 10 patients during the last two years. Alternative diagnostic and therapeutic techniques should be used wherever possible in these patients.
对于接受过毕Ⅱ式胃部分切除术的患者，内镜逆行胰胆管造影（ERCP）操作难度更大。随着经验的积累，结果有所改善；在63次尝试中，我们仅在52%的尝试中获得了完整的诊断信息，但最终在53例相关患者中的60%获得了完整诊断信息。在过去两年中，10例患者中有8例的治疗尝试取得了更成功且有效的结果。对于这些患者，应尽可能使用替代诊断和治疗技术。
