Update on biliary and pancreatic sphincterotomy

BakmanY.; FreemanM.L.

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Update on biliary and pancreatic sphincterotomy

机译：胆胰括约肌切开术的最新进展

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PURPOSE OF REVIEW: To summarize the indications, success rates and complications associated with endoscopic sphincterotomy and endoscopic balloon dilation (EBD). RECENT FINDINGS: Pancreatic and/or biliary sphincterotomies are essential components of most current therapeutic endoscopic retrograde cholangiopancreatography (ERCP). A current large body of evidence has established biliary sphincterotomy as effective in extraction of bile duct stones. The most common complications of biliary sphincterotomy are post-ERCP pancreatitis, as well as acute or delayed hemorrhage, the risks for which can be stratified according to well described patient and procedure related factors. Evidence is accumulating that pancreatic sphincterotomy is useful in at least some settings for treatment of sphincter of Oddi dysfunction, chronic pancreatitis, and pancreas divisum. EBD provides an adjunct or an alternative to biliary sphincterotomy for extraction of stones from the bile duct when routine biliary sphincterotomy is inadequate or risk excessive. SUMMARY: Sphincterotomy and EBD are useful in managing a variety of pancreatobiliary conditions. Attention to risks of these procedures is essential for their efficacy and safety.

机译：审查目的：总结与内镜括约肌切开术和内镜球囊扩张术（EBD）相关的适应症，成功率和并发症。最近的发现：胰腺和/或胆囊括约肌切开术是大多数当前治疗性内镜逆行胰胆管造影术（ERCP）的基本组成部分。当前大量证据表明胆囊括约肌切开术对胆管结石的提取有效。胆囊括约肌切开术最常见的并发症是ERCP后胰腺炎，以及急性或迟发性出血，其风险可以根据详细描述的患者和手术相关因素进行分层。越来越多的证据表明，胰腺括约肌切开术至少在某些情况下可用于治疗Oddi功能障碍，慢性胰腺炎和胰脏分裂的括约肌。当常规胆囊括约肌切开术不足或有过多风险时，EBD可作为胆囊括约肌切开术的辅助或替代方法，用于从胆管中取出结石。总结：括约肌切开术和EBD可用于治疗多种胰腺胆道疾病。注意这些程序的风险对于它们的有效性和安全性至关重要。

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《Current opinion in gastroenterology》 |2012年第5期|共7页
作者
BakmanY.; FreemanM.L.;
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正文语种 eng
中图分类消化系及腹部疾病;
关键词
biliary sphincterotomy; endoscopic balloon dilation; pancreatic sphincterotomy;

机译：胆囊括约肌切开术;内窥镜球囊扩张术;胰腺括约肌切开术;

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1. Update on biliary and pancreatic sphincterotomy [J] . BakmanY., FreemanM.L. Current opinion in gastroenterology . 2012,第5期

机译：胆胰括约肌切开术的最新进展
2. Sphincter of Oddi dysfunction: pancreaticobiliary sphincterotomy with pancreatic stent placement has a lower rate of pancreatitis than biliary sphincterotomy alone. [J] . Fogel EL, Eversman D, Jamidar P, Endoscopy: Journal for Clinical Use Biopsy and Technique . 2002,第4期

机译：Oddi括约肌功能异常：胰胆管括约肌切开并置入胰支架比单独的胆囊括约肌切开术具有更低的胰腺炎发生率。
3. Routine biliary sphincterotomy may not be indispensable for endoscopic pancreatic sphincterotomy. [J] . Kim MH, Myung SJ, Kim YS, Endoscopy: Journal for Clinical Use Biopsy and Technique . 1998,第8期

机译：常规胆道括约肌切开术对于内窥镜胰括约肌切开术并非必不可少。
4. Acute Biliary Pancreatitis: Timing of the Endoscopic Sphincterotomy (ES) and Videolaparocholecystectomy [C] . V. Neri, A. Ambrosi, A. Fersini, International College of Surgeons . 2006

机译：急性胆道胰腺炎：内窥镜晶体切除术（ES）和videolaparocholecystectomy的时序
5. Metabolic Profiling of Urine, Fecal, and Serum Samples and Pancreatic Tumors and Evaluation of HMGA1 Expression Levels in Pancreatic Intraepithelial Neoplasia Cells in the Ptf1a-Cre; LSL-KrasG12D Transgenic Mouse Model of Pancreatic Cancer [D] . Schmahl, Michelle J. 2018

机译：Ptf1a-Cre胰腺上皮内瘤变细胞中尿液，粪便和血清样品和胰腺肿瘤的代谢谱分析和HMGA1表达水平的评估； LSL-KrasG12D胰腺癌转基因小鼠模型
6. Endoscopic pancreatic and biliary manometry in pancreatic biliary and papillary disease and after endoscopic sphincterotomy and surgical sphincteroplasty. [O] . J A Gregg, D L Carr-Locke 1984

机译：在胰腺胆道和乳头状疾病以及内镜括约肌切开术和括约肌成形术后进行内镜胰胆管测压。
7. Endoscopic pancreatic and biliary manometry in pancreatic, biliary, and papillary disease, and after endoscopic sphincterotomy and surgical sphincteroplasty. [O] . Gregg, J A, Carr-Locke, D L 1984

机译：在胰腺，胆道和乳头状疾病以及内镜括约肌切开术和括约肌成形术后，进行内镜胰胆管测压。

Update on biliary and pancreatic sphincterotomy

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