CAJ | 학술논문

目的探讨双通道直视胃镜诊治毕Ⅱ式胃大部切除术后低位胆道梗阻的疗效及安全性.方法对18例毕Ⅱ式胃大部切除术后低位胆道梗阻患者行双通道直视胃镜下检查和治疗,记录手术过程和治疗结局,并评价疗效和安全性.结果 13例经双通道直视胃镜成功造影并经十二指肠镜成功取石或置入支架,成功率达72％(13/18);失败5例,改行外科手术或经皮经肝胆道引流.内镜术后出现迟发性出血1例、胰腺炎2例,经对症治疗后均好转.结论对于毕Ⅱ式胃大部切除术后的低位胆道梗阻,双通道胃镜直视下治疗安全有效.
목적 탐토쌍통도직시위경진치필Ⅱ식위대부절제술후저위담도경조적료효급안전성.방법 대18례필Ⅱ식위대부절제술후저위담도경조환자행쌍통도직시위경하검사화치료,기록수술과정화치료결국,병평개료효화안전성.결과 13례경쌍통도직시위경성공조영병경십이지장경성공취석혹치입지가,성공솔체72％(13/18);실패5례,개행외과수술혹경피경간담도인류.내경술후출현지발성출혈1례、이선염2례,경대증치료후균호전.결론 대우필Ⅱ식위대부절제술후적저위담도경조,쌍통도위경직시하치료안전유효.
Objective To evaluate the clinical effects and safety of double-channel forward-view endoscopy for lower-position biliary obstruction after Billroth-Ⅱ gastrectomy.Methods A total of 18 patients with lower-position biliary obstruction after Billroth-Ⅱ gastrectomy were enrolled and treated with doublechannel forward-view endoscopy.The process and the outcomes were recorded.Effectiveness and safety were evaluated.Results Double-channel forward-view endoscopic treatment was successfully performed in 13 of the 18 patients (72％),with stone removal or stents implantion to resolve biliary obstruction.The procedure failed in 5 patients,who were transferred to surgery or underwent percutaneous transhepatic cholangial drainage.Delayed bleeding occurred in 1 patient,and pancreatitis in 2,who were cured after standard treatments.Conclusion Double-channel forward-view endoscopy is effective and safe for lower-position biliary obstruction in patients after Billroth-Ⅱ gastrectomy.