CAJ | 학술논문

目的探索消化道复杂手术后胰胆系统疾病内镜诊治的方法.方法回顾性总结4例复杂消化道手术(2例Roux-en-Y术、2例Whipple术)后进行气囊辅助内镜检查的患者资料,其中1例患者为单纯双气囊小肠镜探查手术后胆肠吻合口,3例为气囊辅助内镜检查结合ERCP技术.结果 1例患者成功实施治疗性ERCP,其余3例患者明确了诊断.4例患者术后均无明显出血、穿孔等操作相关并发症.结论气囊辅助内镜检查法结合ERCP技术是消化道复杂手术后胰胆疾病重要的诊治手段.
목적 탐색소화도복잡수술후이담계통질병내경진치적방법.방법 회고성총결4례복잡소화도수술(2례Roux-en-Y술、2례Whipple술)후진행기낭보조내경검사적환자자료,기중1례환자위단순쌍기낭소장경탐사수술후담장문합구,3례위기낭보조내경검사결합ERCP기술.결과 1례환자성공실시치료성ERCP,기여3례환자명학료진단.4례환자술후균무명현출혈、천공등조작상관병발증.결론 기낭보조내경검사법결합ERCP기술시소화도복잡수술후이담질병중요적진치수단.
Objective To explore the endoscopic managements for biliary and pancreatic diseases in patients with the history of complex gastrointestinal surgery.Methods Data of four patients who underwent balloon-assisted enteroscopy after complex digestive surgeries (2 patients underwent Roux-en-Y reconstruction,2 others Whipple reconstruction) were retrospectively collected.One patient with bilio-intestinal anastomosis was explored by double-balloon enteroscope (DBE),and balloon-assisted enteroscopy combined with ERCP was used for other 3 patients.Results Therapeutic ERCP was successfully performed on one patient,and the diagnosis of 3 others were confirmed.No operation-related complications such as bleeding or perforation was observed.Conclusion Balloon-assisted enteroscopy combined with ERCP is an important diagnostic and therapeutic method for biliary and pancreatic diseases in the patients after complex gastrointestinal surgery.