Abstract:

Application status and development trend of endoscopic management in biliary toact disease        LI Zhao-shen*, FANG Jun, BAI Yu.*Department of Gastroenterology, Changhai Hospital, the Second Military Medical University, Shanghai 200433, China
Corresponding authors: BAI Yu, E-mail: baiyu1998@hotmail.com; LI Zhao-shen, E-mail:zhaoshenli@hotmail.com
Abstract    The application of endoscopy in the diagnosis and therapy for biliary disorders has evolved immensely. Endoscopic retrograde cholangiopancreatography (ERCP) has evolved from a purely diagnostic procedure to almost exclusively a therapeutic procedure. For example，extraction of difficult common bile duct stones, management of biliary strictures and assessment of Spyglass. Endoscopic ultrasound (EUS), which continues to be a procedure of high diagnostic yield, is becoming a therapeutic modality for management of biliary diseases. For example，EUS-guided biliary drainage (EUS-BD), removal of intrahepatic bile duct stones through EUS-guided hepaticogastrostomy.

Key words: endoscope, endoscopic retrograde cholangiopancreatography, endoscopic ultrasonography, biliary tract

摘要：

消化内镜检查在诊断和治疗胆道疾病方面的应用发展迅速。内镜逆行胰胆管造影（ERCP）已从单纯诊断功能逐渐演变为兼顾治疗的手段，如胆总管巨大结石取出、胆道狭窄处理、Spyglass系统的应用等。超声内镜在诊断和治疗胆道疾病方面的发展日新月异，如经胃胆管引流、经胃肝内胆管取石等。

关键词: 内镜, 内镜逆行胰胆管造影, 超声内镜, 胆道