胆总管结石合并十二指肠乳头旁憩室对经内镜逆行胰胆管造影的影响及应对策略

万倩倩; 金京; 李俊

doi:10.3969/j.issn.1001-5256.2019.03.053

胆总管结石合并十二指肠乳头旁憩室对经内镜逆行胰胆管造影的影响及应对策略

DOI: 10.3969/j.issn.1001-5256.2019.03.053

昆明医科大学第二附属医院消化内科

详细信息

中图分类号: R657.4;R657.5
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出版历程
- 出版日期: 2019-03-20

Influence of common bile duct stones and juxta-papillary duodenal diverticula on endoscopic retrograde cholangiopancreatography and related coping strategies

Department of Gastroenterology, The Second Affiliated Hospital of Kunming Medical University

摘要

摘要:
十二指肠乳头旁憩室(JPD)易引起胆胰疾病,但JPD改变了乳头位置、形状,增加了经内镜逆行胰胆管造影(ERCP)插管及取石的难度,还易引发一系列并发症。结合国内外相关文献,简述了JPD的分型、发生及其与胆、胰系统疾病的关系,分析了胆总管结石合并JPD对ERCP的影响,归纳了应对的策略,以期对临床诊治提供建议和依据。
- 胆总管结石 /
- 十二指肠乳头旁憩室 /
- 胰胆管造影术,内窥镜逆行 /
- 手术后并发症 /
- 综述
Abstract:
Juxta-papillary duodenal diverticula ( JPD) may easily cause biliary and pancreatic diseases. JPD changes papillary positionand shape and increases the difficulties in endoscopic retrograde cholangiopancreatography ( ERCP) intubation and stone removal, and itmay also cause a series of complications. With reference to related articles in China and foreign countries, this article briefly describes thetyping and development of JPD and its association with biliary and pancreatic diseases, analyzes the influence of common bile duct stones andJPD on ERCP, and summarizes related coping strategies, in order to provide suggestions and bases for clinical diagnosis and treatment.
- choledocholithiasis /
- jutapapillary duodenal diver-ticulum /
- cholangiopancreatography, endoscopic retrograde /
- postoperativecomplications /
- review

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参考文献(37)

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