经内镜胰管支架治愈胰瘘1例报告——附文献复习

CURE OF PANCREATIC FISTULA BY ENDOSCOPIC STENTING: REPORT OF 1 CASE AND A REVIEW OF LITERATURE

对 1例胰腺囊肿术后胰瘘的患者行经内镜胰管支架置入术。患者术后一般状况明显好转 ,未出现腹痛、血尿淀粉酶升高、出血、穿孔等并发症 ,术后 1周胰瘘消失 ,瘘口愈合。随访 5个月胰瘘未复发 ,患者饮食、大小便正常 ,体重增加 4kg,复查B超、腹部平片示胰管支架位置正常 ,引流通畅。提示经内镜胰管支架引流疗效可靠、安全、并发症少 ,对与主胰管相通的胰瘘患者应列为首选治疗方法。

Our aim was to assess the curative effect of endoscopic stenting in patients with pancreatic fistula. One patient suffered from pancreatic fistula was treated by pancreatic stenting drainage. The patient′s condition was significantly improved after endoscopic treatment, and no complications such as abdominal pain, bleeding, perforation, and elevation of serum amylase level were found. The fistula was cured in one week. Followed up for 5 months, no relapse of pancreatic fistula was found, and body weight of the patient increased 4kg. The results of B ultrasonography and abdominal X ray examination were also normal. So pancreatic stenting drainage is an effective and safe therapy for pancreatic fistula and should be the first choice.