胃大部切除术后黄疸患者的ERCP诊疗术

ERCP for diagnosis and treatment of jaundice in patients with subtotal gastrectomy

目的探讨胃大部切除术后梗阻性黄疸患者的ERCP诊疗的方法及效果。方法对10例胃大部切除术后(毕Ⅰ式或毕Ⅱ式)胆总管梗阻患者行ERCP术,术中使用乳头预切开、导丝引导插管、网篮取石等方法,以及及时改变患者体位加以配合。结果10例胃大部切除术患者均成功实施ERCP术,术后放置鼻胆管引流3例,胆管支架内引流7例。术中及术后均未发生严重并发症。结论我院对胃大部切除术后胆总管梗阻性黄疸患者施行ERCP诊疗术成功率高,达到了较好的治疗效果。

Objective To evaluate the efficacy of endoscopic retrograde cholangiopancreatography （ERCP） for diag nosis and treatment of jaundice after subtotal gastreetomy. Methods A total of 10 common duct obstruction patients with subtotal gastreetomy （Billroth＇ s Ⅰ or Ⅱ ） were carried out by ERCP. During operation, papillary pre-eut, eather ization, basket extraction methods, as well as timely with postural changes were used to match ERCP. Results All pa tients were operated by ERCP successfully. After operation, 3 patients were put in nose bile drainage and 7 patients were put in biliary bracket drainage. No patients occurred severe complication. Conclusion ERCP is effective for diag nosis and treatment of jaundice after subtotal gastreetomv.