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。
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 froom 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%） re- ceived failed intubation, and 2 （4. 7% ） experienced the complication of digestive tract perforation. Among the 39 patients who underwent ER- CP, 31 （79.5%） were diagnosed with conunon bile duct stones （3 underwent sphincterotomy and 28 underwent endoseopic papillary balloon dilation to remove stones）, 6 （15.4%） were diagnosed with benign stenosis at the end of bile duet （4 underwent papillary balloon dilation a- lone 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 aeute pancre- atitis after surgery. Conclusion ERCP is safe and effective in patients after Billroth - Ⅱ gastrectomy and holds promise for clinical application.
出处
《临床肝胆病杂志》
CAS
2016年第6期1152-1154,共3页
Journal of Clinical Hepatology
关键词
胰胆管造影术
内窥镜逆行
胃肠吻合术
cholangiopancreatography, endoscopic retrograde
gastroentcrostomy
作者简介
雷婷（1976-），女，副主任医师，副主任，主要从事消化内镜治疗的研究。
通信作者：聂占国，电子信箱：niezg．vip@sina．com。
