胆石性胰腺炎的早期或延迟内镜下乳头切开术（EPT）
Early or delayed endoscopic papillotomy (EPT) in gallstone pancreatitis.
作者信息
Rosseland A R, Solhaug J H
出版信息
Ann Surg. 1984 Feb;199(2):165-7. doi: 10.1097/00000658-198402000-00005.
Abstract
In 29 patients with gallstone pancreatitis, endoscopic papillotomy was performed during the first period (1976-1979) as elective procedure 1-8 weeks after the clinical symptoms had subsided. From 1979, endoscopic investigations and treatment were routinely done within 48 hours after the onset of clinical symptoms. The ERCPs and EPTs were well-tolerated and were performed without serious complications. The results of these series indicate that EPT can be safely performed in the acute stage of gallstone pancreatitis. Acute EPT gives effective drainage and relief of the acute symptoms in patients with obstructive pancreatitis.
摘要
在29例胆石性胰腺炎患者中，在第一阶段（1976 - 1979年），当临床症状消退后1 - 8周，内镜乳头切开术作为择期手术进行。从1979年起，内镜检查和治疗在临床症状出现后的48小时内常规进行。内镜逆行胰胆管造影（ERCP）和内镜乳头切开术（EPT）耐受性良好，且未出现严重并发症。这些系列研究结果表明，EPT可在胆石性胰腺炎急性期安全进行。急性EPT能有效引流并缓解梗阻性胰腺炎患者的急性症状。
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