经内镜逆行胰胆管造影治疗80岁以上胆胰疾病患者的策略

麻树人

doi:10.3969/j.issn.1001-5256.2014.12.006

经内镜逆行胰胆管造影治疗80岁以上胆胰疾病患者的策略

DOI: 10.3969/j.issn.1001-5256.2014.12.006

麻树人

沈阳军区总医院内窥镜科

详细信息

中图分类号: R657.5
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出版历程
- 收稿日期: 2014-11-09
- 出版日期: 2014-12-20

Strategy of endoscopic retrograde cholangiopancreatography in elderly patients aged over 80 with pancreaticobiliary diseases

Ma ShuRen

Department of Endoscopy, General Hospital of Shenyang Military Region

摘要

摘要:
我国已进入老龄化社会,高龄(≥80岁)患者日益增多,根据高龄患者胆胰疾病的特点,治疗性经内镜逆行胰胆管造影(ERCP)成为治疗高龄患者胆胰疾病的主要方法。对于高龄胆胰疾病患者行治疗性ERCP,除了术前积极评估和紧急治疗内、外科合并症外,还需要进一步细化治疗方案。治疗性ERCP的应用为高龄胰胆疾病患者提供了良好的治疗方法,使复杂的手术简单化,具有应用安全、方便灵活的特性。
- 胆道疾病 /
- 胰腺疾病 /
- 胰胆管造影术,内窥镜逆行 /
- 老年人,80以上
Abstract:
As an aging society, China has an increasing number of elderly patients (≥80 years) . Given the characteristics of pancreaticobiliary diseases in elderly patients, therapeutic endoscopic retrograde cholangiopancreatography (TERCP) has become the main approach for these patients. When TERCP is performed in elderly patients with pancreaticobiliary diseases, a more detailed strategy is needed in addition to active preoperative evaluation and emergency treatment of medical and surgical complications. TERCP provides a good therapy for elderly patients with pancreaticobiliary diseases, and it is simple, safe, and convenient.
- biliary tract diseases /
- pancreatic diseases /
- cholangiopancreatography, endoscopic retrograde /
- aged, 80 and over

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参考文献(5)

[1]KATSINELOS P, PAROUTOGLOU G, KOUNTOURAS J, et al.Efficacy and safety of therapeutic ERCP in patients 90 years of age and older[J].Gastrointest Endosc, 2006, 63 (3) :417-423.

[2]MA SR, ZHANG N, ZHAO ZF, et al.The clinical application of endoscopic retrograde cholangiopancreatography in senile patients with biliary disease[J].Chin J Pract Intern Med, 2009, 29 (2) :156-158. (in Chinese) 麻树人, 张宁, 赵志峰, 等.治疗性内镜下逆行胰胆管造影在高龄人群胆系疾病中的应用[J].中国实用内科杂志, 2009, 29 (2) :156-158.

[3]CHONG VH, YIM HB, LIM CC.Endoscopic retrograde cholangiopancreatography in the elderly:outcomes, safety and complications[J].Singapore Med J, 2005, 46 (11) :621-626.

[4]MA SR, ZHANG N, YANG Z, et al.Visualization with inflation:A new method of ERCP for examination and treatment of hilar cholangiocarcinoma, with a randomized controlled clinical study[J].Med J Chin PLA, 2009, 30 (12) :1439-1441. (in Chinese) 麻树人, 张宁, 杨卓, 等.注气造影:一种肝门部胆管癌ERCP检查治疗的新方法 (附随机对照临床试验) [J].解放军医学杂志, 2009, 30 (12) :1439-1441.

[5] MA SR, ZHANG YC, YANG Z, et al.Application of endoscopic retrograde cholangiopancreatography for patients with acute cholecystitis[J].Chin J Dig Endosc, 2013, 30 (5) :269-272. (in Chinese) 麻树人, 张迎春, 杨卓, 等.内镜逆行胰胆管造影技术在急性胆囊炎患者中的临床应用价值[J].中华消化内镜杂志, 2013, 30 (5) :269-272.

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