Billroth-Ⅱ式胃大部切除术后行经内镜逆行胰胆管造影的安全性分析

雷婷; 聂占国; 热合曼; 刘萍; 游云; 蒋丽丽; 张新

doi:10.3969/j.issn.1001-5256.2016.06.027

Billroth-Ⅱ式胃大部切除术后行经内镜逆行胰胆管造影的安全性分析

DOI: 10.3969/j.issn.1001-5256.2016.06.027

兰州军区乌鲁木齐总医院消化科

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中图分类号: R656.6
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出版历程
- 出版日期: 2016-06-20

Endoscopic retrograde cholangiopancreatography after Billroth-Ⅱ gastrectomy and its safety

摘要

摘要: 目的探讨胃Billroth-Ⅱ式术后经内镜逆行胰胆管造影（ERCP）技术及其安全性。方法对2012年6月-2015年6月兰州军区乌鲁木齐总医院收治的胃Billroth-Ⅱ式术后43例患者行ERCP。结果 43例行ERCP的患者中插管成功39例（90.7%）,插管失败2例（4.7%）,并发消化道穿孔2例（4.7%）。39例患者中经ERCP诊断为胆总管结石31例（79.5%）,其中3例行乳头括约肌切开术、28例行内镜下乳头球囊扩张术取石;诊断为胆管末端良性狭窄6例（15.4%）,其中4例行单纯乳头球囊扩张术、2例行胆道塑料支架置入术;诊断为壶腹部肿瘤、胃癌肝门部转移各1例（2.6%）,分别置入胆道金属支架、塑料支架。术后急性胰腺炎1例（2.6%）。结论对胃Billroth-Ⅱ式术后患者进行ERCP检查及治疗是安全、有效的,可在临床推广应用。
- 胰胆管造影术,内窥镜逆行 /
- 胃肠吻合术
Abstract: Objective To investigate the safety of endoscopic retrograde cholangiopancreatography(ERCP) after Billroth- Ⅱ gastrectomy.Methods A total of 43 patients who were admitted to our hospital and underwent Billroth-Ⅱ gastrectomy from June 2012 to June 2015 were enrolled and underwent ERCP.Results Of all 43 patients undergoing ERCP,39(90.7%) received successful intubation,2(4.7%) received failed intubation,and 2(4.7%) experienced the complication of digestive tract perforation.Among the 39 patients who underwent ERCP,31(79.5%) were diagnosed with common bile duct stones(3 underwent sphincterotomy and 28 underwent endoscopic papillary balloon dilation to remove stones),6(15.4%) were diagnosed with benign stenosis at the end of bile duct(4 underwent papillary balloon dilation alone and 2 underwent biliary plastic stent implantation),and 1 patient each(2.6%) was diagnosed with ampullary tumor and hepatic portal metastasis of gastric cancer and received implantation of metal and plastic stents,respectively.One patient(2.6%) experienced acute pancreatitis after surgery.Conclusion ERCP is safe and effective in patients after Billroth-Ⅱgastrectomy and holds promise for clinical application.
- cholangiopancreatography /
- endoscopic retrograde

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参考文献(9)

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