Whipple术后胆肠、胰肠吻合口出血的胆道镜治疗

The treatment of postoperative hemorrhage of pancreato - jejunal or choledochojejunal anastomotic stoma after whipple operation by the way of fibercholedochoscopy

目的： 探讨胆道镜治疗胰十二指肠切除术后胆肠、胰肠吻合口出血的疗效。方法 拔出胆肠吻合口内的引流管，经引流管窦道插入胆道镜确定出血部位，局部电凝、微波固化、喷洒复方五倍子液止血。结果４例胆肠、６例胰肠吻合口出血止血成功，１例胰肠吻合口反复出血止血失败。结论胆道镜是诊断治疗本病首选有效方法。

Objective To evaluate the therapeutic effectiveness of postoperative hemorrhage of cholejejunal or pancreato - jejunal anastomotic stoma after pancreato - duodenectomy by the way of fibercholedochoscopy. Meth- ods The drainge tube was extracted out of choledochojejunal anastomotic stoma. And fibercholedochoscopy was in- serted in fistula to affirm hemorrhagic position of choledochojejunal or pancreato - jejunal anastomotic stoma. And then local coagulation and microwave solidifying was proceeded with. Local spray of Galla - chineses compound solution was performed for hemostasis. Results We succeeded in hemorrhage of four choledochojejunal and six pancreato - jejunal anastomotic stoma One failed for frequent hemorrhage in pancreato - jejunal anastomotic stoma. Conclu- sion Fibercholedochoscopy is the first selective and effective method in the diagnosis and treatment of postoperative hemorrhoge of pancreato - jejunal or choledochojejunal anastomotic stoma after whipple operation.