Chowdhury A, Chatterjee B K, Das U, Dutta P, Dhali G K, Banerjee P K
Department of Gastroenterology, Institute of Postgraduate Medical Education and Research, Calcutta.
Indian J Gastroenterol. 1997 Oct;16(4):155-6.
Endoscopic procedures are difficult in patients with situs inversus owing to left-right reversal of viscera. Conventionally, reversal of the position of the endoscopist in relation to the patient is advocated to overcome the anatomical difficulty. We describe a patient with chronic calcific pancreatitis and pseudocyst of the pancreas who had situs inversus. ERCP was performed with minor modification of maneuvers with the patient in the usual left lateral decubitus and the endoscopist on the left of the table.
由于内脏左右反转，患有内脏反位的患者进行内镜操作较为困难。按照惯例，主张内镜医师相对于患者改变位置以克服解剖学上的困难。我们描述了一名患有慢性钙化性胰腺炎和胰腺假性囊肿的内脏反位患者。在患者处于常规左侧卧位且内镜医师位于手术台左侧的情况下，通过对操作进行微小调整实施了内镜逆行胰胆管造影术（ERCP）。
