CAJ | 학술논문

目的评估单气囊小肠镜辅助下ERCP诊治胃肠改道术后并发胆道梗阻的可行性和安全性.方法回顾性总结7例胃肠改道术后并发胆道梗阻行单气囊小肠镜辅助下ERCP治疗患者的临床资料,统计治疗完成情况、手术时间以及并发症发生情况.结果 6例内镜成功到达十二指肠乳头或胆肠吻合口并行ERCP相关治疗,手术成功率达85.7％(6/7),手术时间28～72 min,平均42 min;另外1例未能成功确认输入袢并找到十二指肠乳头.7例均未发生术中及术后穿孔、急性胰腺炎、出血等严重并发症.结论单气囊小肠镜辅助下ERCP治疗胃肠改道术后并发胆道梗阻是可行的,也是相对安全的.
목적 평고단기낭소장경보조하ERCP진치위장개도술후병발담도경조적가행성화안전성.방법 회고성총결7례위장개도술후병발담도경조행단기낭소장경보조하ERCP치료환자적림상자료,통계치료완성정황、수술시간이급병발증발생정황.결과 6례내경성공도체십이지장유두혹담장문합구병행ERCP상관치료,수술성공솔체85.7％(6/7),수술시간28～72 min,평균42 min;령외1례미능성공학인수입번병조도십이지장유두.7례균미발생술중급술후천공、급성이선염、출혈등엄중병발증.결론 단기낭소장경보조하ERCP치료위장개도술후병발담도경조시가행적,야시상대안전적.
Objective To evaluate the feasibility and safety of performing endoscopic retrograde cholangiopancreatography (ERCP) assisted by single-balloon enteroscopy (SBE) in patients with biliary obstruction after gastrointestinal reconstruction.Methods Clinical data about 7 cases of single-balloon enteroscopy assisted-ERCP (SBE-ERCP) were summarized including the completion of treatment,operation time,and complications for retrospective study.Results The papilla or anastomotic site was reached and therapeutic ERCP were performed successfully in 6 patients.The overall success rate was 85.7％ (6/7),and the mean operation time of SBE-ERCP was 42 min (ranging from 28 to 72 min).The afferent loop and papilla were failed to be confirmed in 1 patient.No complication such as perforation,pancreatitis or bleeding ocurred in all the 7 patients.Conclusion Single-balloon enteroscopy assisted-ERCP (SBE-ERCP) is feasible and relatively safe in postsurgical patients with gastrointestinal reconstruction.