Lipschitz J, Gecelter G R
Department of Surgical Gastro-enterology, Johannesburg Hospital.
S Afr J Surg. 1993 Sep;31(3):94-7.
Endoscopic sphincterotomy was electively performed as the definitive procedure on 8 high-risk patients with biliary pancreatitis; the gallbladder was left in situ. After a mean follow-up of 21 months, 2 patients had biliary symptoms for which 1 required cholecystectomy and exploration of the common bile duct. No patient developed recurrent pancreatitis during the follow-up period. When the risk of elective surgery is high, endoscopic sphincterotomy appears to protect the patient against recurrent episodes of pancreatitis, and is the initial procedure of choice for the high-risk patient with biliary pancreatitis.
对8例高危胆源性胰腺炎患者选择性地实施了内镜括约肌切开术作为确定性治疗；胆囊予以保留。平均随访21个月后，2例患者出现胆系症状，其中1例需要行胆囊切除术及胆总管探查术。随访期间无患者发生复发性胰腺炎。当择期手术风险较高时，内镜括约肌切开术似乎可保护患者预防胰腺炎复发，是高危胆源性胰腺炎患者的首选初始治疗方法。
