Early successes and late failures in the prevention of post endoscopic retrograde cholangiopancreatography

查看全文 作　　者：John G Lieb [1]II;Peter V [2]Draganov

机构地区：[1]Gastroenterology Fellow,Division of Gastroenterology,Department of Internal Medicine,University of Florida FL 32610-0214,United States;[2]Associate Professor of Medicine,Division of Gastroenterology,University of Florida FL 32610-0214,United States

出　　处：《World Journal of Gastroenterology》索引2007年第13卷第26期,共8页

摘　　要：Acute pancreatitis is the most common complication of endoscopic retrograde cholangiopancreatography (ERCP). The only way to prevent this complication is to avoid an ERCP all together. Because of the risks involved, a careful consideration should be given to the indication for ERCP and the potential risk/benefit ratio of the test. Once a decision to perform an ERCP is made, the procedure should be carried out with meticulous care by an experienced endoscopist, and with a minimum of pancreatic duct opacification. Several pharmacologic agents have been tested, but to date the most important method of reducing post ERCP pancreatitis is the placement of pancreatic stent. Pancreatic stents should be placed in all patients at high risk of this complication such as those undergoing pancreatic sphincterotomy, pancreatic duct manipulation and intervention, and patients with suspected sphincter of Oddi dysfunction. Pancreatic stents should be also considered in patients requiring precut sphincterotomy to gain biliary access. 关键词：生长激素抑制素内窥镜胆管胰造影术治疗方法

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Early successes and late failures in the prevention of post endoscopic retrograde cholangiopancreatography

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