中国实用外科杂志

中国实用外科杂志

• 专题笔谈 • 上一篇    下一篇

消化道重建术后ERCP和小肠镜辅助ERCP的应用价值

王雪峰，吴文广   

  1. 上海交通大学医学院附属新华医院普外科 上海交通大学医学院胆道疾病研究所，上海200092
  • 出版日期:2017-08-01 发布日期:2017-07-25

  • Online:2017-08-01 Published:2017-07-25

摘要：

消化道术后内镜逆行胰胆管造影（ERCP）的诊治相对困难，极具挑战性。不同的消化道重建术后ERCP各有其特点，ERCP操作的难点也各有侧重。可将消化道术后ERCP简单分为胃切除术后ERCP和胆胰术后ERCP两类，并针对不同类型采取相应处理策略。多学科团队合作基础上的单气囊小肠镜辅助ERCP会成为胆胰重建术后病人诊治的第一选择。

关键词: 内镜逆行胰胆管造影, 单气囊小肠镜, 消化道重建术, 多学科合作, 胃切除术, 胆肠吻合, 胰十二指肠切除术

Abstract:

Endoscopic retrograde cholangiopancreatography after digestive tract reconstruction and the value of balloon-enteroscopy assistance        WANG Xue-feng, WU  Wen-guang. Department of General Surgery, Xin Hua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai 200092, China
Corresponding auhor: WANG Xue-feng, E-mail: wxxfd@live.cn
Abstract    Endoscopic retrograde cholangiopancreatography (ERCP) after digestive tract reconstruction is relatively difficult and challenging. Different types of post-GI tract surgery ERCP have their own characteristics, and also have different difficulties in ERCP process. Post-GI tract surgery ERCP can be divided into post-gastrectomy ERCP and post-pancreatobiliary surgery ERCP, and different diagnosis and treatment strategies can be adopted for different types. Single balloon enteroscope (SBE)-assisted ERCP post-pancreatobiliary surgery based on the multidisciplinary cooperation should be the first-line standard method for the diagnosis and treatment.

Key words: endoscopic retrograde cholangiopancreatography, single balloon enteroscope , post-GI surgery, multidisciplinary cooperation, gastrectomy, cholangioenterostomy, pancreaticoduodenectomy