Sherman S, Lehman G A
Division of Gastroenterology/Hepatology, Indiana University Medical Center, Indianapolis, Indiana 46202-5000, USA.
Gastrointest Endosc Clin N Am. 1998 Jan;8(1):115-24.
Endoscopic pancreatic sphincterotomy of the major and minor papilla has expanded our approach to the management of a variety of pancreatic disorders. Analysis of the complication rates of this therapy is difficult, however, because a variety of techniques are often used in conjunction with the pancreatic sphincterotomy. This article reviews the techniques and complications of endoscopic pancreatic sphincterotomy. Based on the currently available data, it appears that the complication rates of pancreatic sphincterotomy are probably higher than those of biliary sphincterotomy. Should application of this technique become more widespread, methods to reduce the incidence of post-procedure pancreatitis will demand further investigation.
对主乳头和副乳头进行内镜下胰管括约肌切开术，拓宽了我们对多种胰腺疾病的治疗方法。然而，由于在进行胰管括约肌切开术时常常会联合使用多种技术，因此很难分析这种治疗方法的并发症发生率。本文回顾了内镜下胰管括约肌切开术的技术和并发症。根据目前可得的数据，胰管括约肌切开术的并发症发生率可能高于胆管括约肌切开术。如果这项技术的应用更为广泛，那么降低术后胰腺炎发生率的方法将需要进一步研究。
