2019年《欧洲胃肠内镜学会指南:ERCP相关不良事件》解读

Interpretation of European Society of Gastrointestinal Endoscopy(ESGE)guideline for ERCP-related adverse events(2019)

内镜逆行胰胆管造影术(ERCP)是目前胆胰疾病的一线微创诊疗方法。随着ERCP普及率越来越高,ERCP相关不良事件越来越被临床重视,主要包括ERCP术后胰腺炎、胆囊炎、胆管炎、出血、穿孔等。目前针对这些不良事件的处理尚存在争议和问题。2019年12月欧洲胃肠内镜学会发布了《ERCP相关不良事件指南》,本文对指南中的重点内容进行了解读,以期为消化内镜医师提供诊疗参考。

Endoscopic retrograde cholangiopancreatography(ERCP)is currently the first-line minimally invasive diagnosis and treatment of biliary and pancreatic diseases.With the increasing popularity of ERCP,ERCP-related adverse events which include post-ERCP pancreatitis,cholecystitis,cholangitis,bleeding,perforation,etc.,have received more and more attention.In response to the controversy and problems in the management of these adverse events,the European Society of Gastrointestinal Endoscopy published the guidelines for ERCP-related adverse events in December 2019.The paper interprets the key points in the guideline to provide references for clinical practice.