超声内镜与经内镜逆行胰胆管造影联合治疗胆胰疾病

杨爱明

doi:10.3969/j.issn.1001-5256.2018.03.005

超声内镜与经内镜逆行胰胆管造影联合治疗胆胰疾病

DOI: 10.3969/j.issn.1001-5256.2018.03.005

杨爱明

中国医学科学院,北京协和医院消化科

基金项目:

2010年国家临床重点专科项目；

详细信息

中图分类号: R57
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出版历程
- 出版日期: 2018-03-20

Endoscopic ultrasonography combined with endoscopic retrograde cholangiopancreatography in treatment of biliary and pancreatic diseases

Yang AiMing

Department of Gastroenterology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences

Research funding:

摘要

摘要:
经内镜逆行胰胆管造影(ERCP)作为消化内镜主要手段,在一些胆胰疾病的微创治疗方面起到重要作用,在胆管狭窄、胰管狭窄的减压治疗、胰瘘的治疗等方面,ERCP的胆管内引流术及外引流术、胰管支架植入术等起关键的作用。近年由于介入超声内镜(EUS)技术的进步,当ERCP插管未成功,或手术后解剖结构改变而传统ERCP无法完成胆管、胰管的减压时,还可以通过EUS引导下穿刺及支架植入术完成胆胰管的减压,为其治疗开辟新的领域,同时也体现EUS与ERCP在胆胰疾病治疗中起到的互补作用。
- 腔内超声检查 /
- 胰胆管造影术,内窥镜逆行 /
- 胆道疾病 /
- 胰腺疾病 /
- 治疗
Abstract:
Endoscopic retrograde cholangiopancreatography ( ERCP) , as the main means of digestive endoscopy, plays an important role in the minimally invasive treatment of some pancreaticobiliary diseases, such as biliary drainage, external drainage, and pancreatic duct stenting for the decompression treatment of biliary stricture and pancreatic duct stricture and the treatment of pancreatic fistula. In recent years, with the progress in interventional endoscopic ultrasonography ( EUS) , EUS-guided puncture and stent implantation can be used to complete decompression of the bile duct and pancreatic duct when ERCP intubation is not successful or ERCP is unable to complete decompression of the bile duct and pancreatic duct due to postoperative anatomical changes, which provides a new choice of treatment for biliary and pancreatic diseases and reflects the complementary role of EUS and ERCP in the treatment of biliary and pancreatic diseases.
- endosonography /
- cholangiopancreatography, endoscopic retrograde /
- biliary tract diseases /
- pancreatic diseases /
- therapy

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参考文献(26)

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