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胃大部切除BillrothⅡ式吻合术后ERCP检查 被引量:4

ERCP EXAMINATION IN PATIENTS AFTERBILLROTH Ⅱ GASTRECTOMY
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摘要 对35例胃大部切除BillrothⅡ式吻合术后的患者施行ERCP检查,29例造影成功(83%),失败6例,无严重并发症。其中19例阳性发现(66%),认为该项检查有重要临床价值。详细阐述了胃肠正常解剖途径改变所致内镜操作困难的技术问题及注意事项。 he article reported the experience of ERCP examination in 35 patients afterBillroth Ⅱgastrectomy. The exam was successful in 29 cases and positive diag-nosis of biliary disorders were obstained in 19 of them. 6 cases failed majorly be-cause of not adequate length of the endoscope. As biliary disorders occur moreoften after gastrectomy than in ordinary population and the image of BUS mightbe altered by adhesion of and gas in duodenum, ERCP is of essential importancein these patients. The article described the difficulties and techniques in detailwhich mainly included identification of the afferent limb and catheterization intothe papillary opening in an opposite direction than uaual.
出处 《中国普通外科杂志》 CAS CSCD 1994年第4期223-226,共4页 China Journal of General Surgery
关键词 ERCP 胃切除 吻合术 内窥镜 Billroth H gastrectomyi ERCP.
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  • 1殷泙,马恩伟,包文敏,姚忆蓉,章学林,张玉金,黄傲霜,张静喆.胃大部切除毕Ⅱ式吻合术后胆管疾病的侧视内镜下治疗[J].中华肝胆外科杂志,2005,11(9):609-611. 被引量:11
  • 2张光全,程泰煦,周稳.自制深部打结器在腹部外科手术中的应用[J].临床外科杂志,1996,4(5):278-279. 被引量:30
  • 3贾国法,朱良松,王美玲,李祥兵,王秀侠,单红,吴丽颖.几种乳头预切开方法在ERCP胆管插管困难时的选择应用[J].中华消化内镜杂志,2007,24(3):209-212. 被引量:12
  • 4Swarnkar K, Stamatkis JD, Young WT. Diagnostic and therapeutic endospic retrograde cholangiopancreatcography after Billroth Ⅱ gastrectomy-safe provision in a district general hospital [J]. Ann R Coil Surg Engl, 2005,87(5) :274 -276.
  • 5Reviakinvi Cotton PB. Endoscopic retrograde pancreaticochangiography and papillosphincterotomy after resection of the stomach by the Billroth Ⅱ method [ J]. Sov Med, 1986, 31 (1) :111 -115.
  • 6Park CH, Lee WS, Joo YE, et al. Cap-assisted ERCP in patients with a Billroth Ⅱ gastrectomy [ J ] . Gastrointest Endosc, 2007,66(3) :612 -615.
  • 7Bergman JJ, van Berkel AM, Bruno M J, et al. A randomized trial of endoscopic balloon dilation and endoscopic sphineterotomy for removal of bile duet stones in patients with a prior Billroth Ⅱ gastrectomy [ J]. Gastrointest Endosc, 2001, 53 (1) :19 -26.
  • 8Kasapidis P. Cannulating the papilla from the reverse position. Therapeutic ERCP in patients with Billmth Ⅱ gastrectomy [J]. Ann Gastroenterol, 2006,19(2) :121 -124.
  • 9Dolay K, Soylu A. Easy sphincterotomy in patients with Billroth Ⅱ gastrectomy : A new technique [ J ] . Turk J Gastroenterol, 2008,19(2) :109-113.
  • 10Enjoji A, Ura K, Ozeki K, et al. Cyclic motor activity of the gallbadder maintained in a pyloruspreserving gastrectomy in dogs [ J ]. Surg Today, 2000,26 ( 3 ) :489-491.

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