电子结肠镜肠道灌洗在急性重症胰腺炎治疗中的应用

The effect of colonic irrigation with endoscope in the treatment of acute severe pancreatitis

目的探讨用结肠镜减压及肠道灌洗在急性重症胰腺炎治疗中的有效性和安全性。方法回顾性分析51例急性重症胰腺炎患者中,9例因结肠受累出现严重腹胀,行结肠镜结肠减压及灌洗的临床效果和结肠镜检查所见。结果结肠黏膜广泛充血水肿9例,黏膜糜烂5例;结肠清洁灌洗后,腹压增高明显缓解,第3天后肠鸣音恢复正常7例;结肠镜操作过程安全,无并发症发生。结论急性重症胰腺炎患者应用结肠镜行肠道灌洗及减压,效果确切,操作安全,并能改善患者的感染中毒症状。

To investigate the effectiveness and the safety of colonic irrigation and colonic decompression with endoscope in treating acute severe pancreatitis （ASP）. Methods A retrospective study was conducted in 9 patients with colonic involvement presented with severe abdominal distention. They were treated with adopt colonic irrigation and decompression with endoscope. Results It was found that colonic mucosa were generally engorged in 9 patients and scattered erosion was found in 5 patients. The abdominal distention was ameliorated after colonic irrigation and decompression. This procedure conducted with coloscopy was safe and no complication was found. Conclusions The colonic irrigation and decompression with endoscope has shown a favourable effectiveness and safety in the treatment of ASP.