摘要
十二指肠乳头气囊扩张术(EPBD)是内镜下逆行性胰胆管造影的一种治疗手段,EPBD术后胰腺炎是常见且严重的并发症之一。目前研究发现,EPBD操作相关因素、病例选择相关因素、多次乳头插管及导丝多次插入胰管、多次胰管显影与操作者的经验不足是EPBD术后并发胰腺炎的常见危险因素。关于预防术后胰腺炎的药物研究已广泛开展,临床研究取得一定的进展。在内镜技术方面,改进操作技术,放置胰管支架和胆管引流技术,能有效地预防EPBD术后胰腺炎的发生。
Endoscopic papillary balloon dilation（ EPBD） is one of treatment methods of endoscopic retrograde cholangio-pancreatography（ ERCP） . Pancreatitis is one of common and severe complications secondary to EPBD. At present,it has been found that relevant factors for operation of EPBD,relevant factors for selection of procedure,repeated cannulation in papillary and insertion into pancreatic duct,multiple radiography of pancreatic duct,and insufficient experience of operators,are the common risk factors for acute pancreatitis following EPBD. Medical study on the prevention of pancreatitis after EPBD has been carried out extensively and has made certain progress. For endoscopic technology,the improvement of operative technique,placement of pancreatic duct stent,and drainage of bile duct,can prevent the pancreatitis after EPBD effectively.
出处
《医学综述》
2010年第21期3275-3277,共3页
Medical Recapitulate
关键词
十二指肠乳头气囊扩张术
急性胰腺炎
危险因素
预防
Endoscopic papillary balloon dilation
Acute pancreatitis
Risk factors
Prevention
