经内镜逆行性胰胆管造影术后并发症的防治进展

Progress of prevention and treatment of complications after endoscopic retrograde cholangiopancreatography

目前经内镜逆行性胰胆管造影(endoscopic retrograde cholangiopancreatography,ERCP)是诊治胆胰疾病最常用的方法之一。与外科手术相比,具有创伤小、恢复快、花费少等优点。但作为一项侵入性操作,其不可避免地会出现一系列并发症如术后胰腺炎(post-ERCP pancreatitis,PEP)、胆管炎、出血及穿孔等,这些不良反应使得ERCP的应用受到了一定的限制。本文就ERCP术后并发症的防治进展作一概述。

At present,endoscopic retrograde cholangiopancreatography（ERCP）is one of the most common used methods for diagnosis and treatment in biliopancreatic diseases.Compared with surgery,it has advantages of smaller trauma,fast recovery and less cost and so on.However,as an invasive procedure,it inevitably has a series of complications such as post-ERCP pancreatitis（PEP）,cholangitis,hemorrhage and perforation and so on.These adverse reactions limit the application of ERCP.This article reviewed the progress of prevention and treatment of complications after ERCP.