ERCP对腹腔镜胆囊切除术后急性胰腺炎的早期治疗效果
Value of ERCP in Early Diagnosis and Treatment of Acute Pancreatitis after Laparoscopic Cholecystectomy

作者: 郝余庆 , 李 恒 , 寇玉彬 :上海宝山医院,上海;

关键词: 内镜急性胰腺炎内镜逆行性胰胆管造影术腹腔镜胆囊切除术Endoscopy Acute Pancreatitis Endoscopic Retrograde Cholangiopancreatography Laparoscopic Cholecystectomy

摘要:
目的:观察ERCP对腹腔镜胆囊切除术(laparoscopic cholecystectomy LC)后出现急性胰腺炎(acute pancreatitis AP)的早期治疗效果。方法:收集2005年6月至2013年12月47例AP患者(均是胆囊结石腹腔镜胆囊切除术后),所有患者住院行ERCP + EST治疗,术中放置鼻胆管(Endoscopic naso-biliary drainage, ENBD)9例,胆管支架4例。结果:术中发现胆总管结石36例,9例胆总管下端狭窄,2例胆总管下端恶性肿瘤。术后未出现十二指肠穿孔、胰腺炎加重等严重并发症。结论:胆道因素依然是LC术后急性胰腺炎的首要因素,ERCP治疗腹腔镜胆囊切除术后急性胰腺炎有显著疗效。

Abstract: Objective: To investigate the value of endoscopic retrograde cholangiopancreatitis (ERCP) in early diagnosis and treatment of acute pancreatitis after laparoscopic cholecystectomy (LC). Methods: The data of 47 cases with acute pancreatitis after LC in our hospital from June 2005 to December 2013 were retrospectively analyzed. All cases were treated with ERCP + EST, 9 cases were cured with ENBD, 4 cases were placed stent. Result: 36 cases were choledocholithiasis, 9 cases were common bile duct stricture, 2 cases were maligment, and there was no severe complication after ERCP, such as gastroduodenal perforation. Conclusion: The major cause of acute pancreatitis after LC was biliary factor. For these cases, the treatment by ERCP was safe and effective.

文章引用: 郝余庆 , 李 恒 , 寇玉彬 (2014) ERCP对腹腔镜胆囊切除术后急性胰腺炎的早期治疗效果。 外科, 3, 30-33. doi: 10.12677/HJS.2014.33007

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