Gerolami R, Giovannini M, Laugier R
Hepatogastroenterology Service, Hôpital de la Conception, Marseilles, France.
Endoscopy. 1997 Feb;29(2):106-8. doi: 10.1055/s-2007-1004083.
Endoscopic drainage of cysts is now accepted as an effective treatment in chronic pancreatitis. Endosonography is coming to be regarded as essential before endoscopic therapy, since it can precisely identify the best and safest point at which to perform the cystoenterostomy. The present report illustrates from four cases that, in some patients, endosonography may contraindicate endoscopic drainage, while in others, it can prove the feasibility of the treatment even when there is no bulging of the cyst into the digestive tract.
囊肿的内镜引流目前已被公认为是慢性胰腺炎的一种有效治疗方法。内镜超声检查在进行内镜治疗前正逐渐被视为必不可少的检查，因为它可以精确确定进行囊肿肠吻合术的最佳且最安全的部位。本报告通过四个病例说明，在一些患者中，内镜超声检查可能提示内镜引流存在禁忌证，而在另一些患者中，即使囊肿没有向消化道内突出，它也可以证明该治疗的可行性。
