透热疗法内镜逆行胰胆管造影术：黄疸患者内镜逆行胰胆管造影术（ERCP）的一种替代方法。

Diathermy ERCP: an alternative method for endoscopic retrograde cholangiopancreatography (ERCP) in jaundiced patients.

作者信息

Caletti G C, Verucchi G, Bolondi L, Labò G

出版信息

Gastrointest Endosc. 1980 Feb;26(1):13-5. doi: 10.1016/s0016-5107(80)73251-0.

Abstract

Standard ERCP was unsuccessful in 5 jaundiced patients. This problem was surmounted in 4 of these patients by endoscopically inducing a small choledochoduodenal fistula through which a catheter could be inserted and diagnostic cholangiograms were obtained. In the fifth patient, the attempt to create a fistula was insufficient, and the contrast material infiltrated the duodenal wall with transient ensuing fever. In subsequent observations, the induced fistulas promptly healed. The method is offered as an alternative procedure when standard ERCP fails.

摘要

标准内镜逆行胰胆管造影术（ERCP）在5例黄疸患者中未成功。通过内镜诱导形成一个小的胆总管十二指肠瘘，在其中4例患者中克服了这一问题，通过该瘘可插入导管并获得诊断性胆管造影。在第5例患者中，造瘘尝试未成功，造影剂渗入十二指肠壁，随后出现短暂发热。在后续观察中，诱导形成的瘘迅速愈合。当标准ERCP失败时，该方法可作为一种替代手术提供。