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The endoscopic management of pancreatic fistulas.

机译：胰瘘的内窥镜处理。

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BACKGROUND: Interest in the use of therapeutic endoscopy for the treatment of pancreatic diseases has been on the increase for several years. Our aim was to assess the efficacy of endoscopic retrograde cholangiopancreaticography (ERCP) in the treatment of pancreatic fistulas. METHODS: We evaluated the results of therapeutic ERCP in 50 patients with pancreatic fistula treated at the Helsinki University Central Hospital from 1998 to 2003. RESULTS: The success rate of fistula closure after therapeutic ERCP was 82%. Five patients required operative treatment when ERCP was unsuccessful. There was little morbidity and no procedure-related mortality. Four patients died because severe illnesses made them unfit for any further procedures. CONCLUSION: ERCP is a safe and effective modality and should be considered as first-line therapy in the management of pancreatic fistula.
机译：背景：使用治疗性内窥镜治疗胰腺疾病的兴趣已经增加了几年。我们的目的是评估内镜逆行胰胆管造影术（ERCP）在治疗胰腺瘘中的疗效。方法：我们评估了1998年至2003年在赫尔辛基大学中心医院接受治疗的50例胰瘘患者的治疗性ERCP的结果。结果：治疗性ERCP术后瘘管闭合的成功率为82％。当ERCP失败时，有5名患者需要手术治疗。发病率低，没有与手术相关的死亡率。四名患者死于重病，因为他们不适合任何进一步的手术。结论：ERCP是一种安全有效的方法，应被视为胰腺瘘的一线治疗方法。

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