...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Surgical Endoscopy >Endoscopic sphincterotomy for prevention of the recurrence of acute biliary pancreatitis in patients with gallbladder in situ: long-term follow-up of 88 patients.
【24h】

Endoscopic sphincterotomy for prevention of the recurrence of acute biliary pancreatitis in patients with gallbladder in situ: long-term follow-up of 88 patients.

机译：内镜括约肌切开术预防原位胆囊患者急性胆源性胰腺炎的复发：88例患者的长期随访。

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

BACKGROUND: Endoscopic sphincterotomy without cholecystectomy is a therapeutic option in selected patients after acute biliary pancreatitis. We conducted a prospective evaluation of the long-term effects of sphincterotomy in terms of the need for of subsequent cholecystectomy and the recurrence of gallstone pancreatitis. METHODS: We studied 88 patients with acute biliary pancreatitis and an intact gallbladder who, underwent endoscopic sphincterotomy either because they were high-risk candidates for surgery or because they had refused of cholecystectomy. The median follow-up was 51 months (range, 5-86). RESULTS: Only two patients (2.2%) experienced recurrent pancreatitis. Subsequent cholecystectomy was performed in 10 patients because of acute cholecystitis in eight cases and biliary colic in two cases. Sixty-six patients (75%) remained asymptomatic. CONCLUSIONS: Endoscopic sphincterotomy is a safe and acceptable alternative to cholecystectomy for the prevention of recurring attacks of gallstone pancreatitis. As a result of this procedure, 75% of patients remained free of symptoms in the long term.
机译：背景：在没有胆囊切除术的情况下内镜括约肌切开术是急性胆源性胰腺炎术后某些患者的治疗选择。我们对括约肌切开术的长期效果进行了前瞻性评估，评估了后续胆囊切除术的必要性和胆结石性胰腺炎的复发。方法：我们研究了88例急性胆源性胰腺炎和胆囊完整的患者，这些患者因内镜括约肌切开术而成为高危手术对象，或者因为他们拒绝进行胆囊切除术。中位随访时间为51个月（范围5-86）。结果：仅两名患者（2.2％）经历了复发性胰腺炎。由于急性胆囊炎8例和胆绞痛2例，随后进行了10例胆囊切除术。六十六例患者（75％）无症状。结论：内窥镜括约肌切开术是胆囊切除术的安全和可接受的替代方法，可预防胆石性胰腺炎的复发发作。作为该程序的结果，长期来看，有75％的患者没有症状。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号