ERCP术后早期并发症及防治的研究进展

The Risk Factors and Prevention for the ERCP Early Postoperative Complications Research Progress

经内镜逆行性胰胆管造影术(ERCP)现已成为消化内科一项重要的诊疗手段,目前主要应用于梗阻性黄疸、胆道疾患(如结石、肿瘤、胆管炎)、胰腺疾病(如胰腺炎、胰腺肿瘤、胰腺囊肿)等相关疾病的诊治,而其术后相关的早期并发症也受到越来越多人的关注,其中包括胰腺炎、消化道出血、胆管炎、穿孔、心肺并发症等,一旦未得到及时有效的处理,则易导致死亡。本文通过对目前ERCP术后早期并发症相关危险因素及防治措施的研究进展进行综述,以期提高临床医师对这些并发症的正确认识以及指导临床医师积极有效防治并发症的发生。

Endoscopic Retrograde Cholangiopancreatography (ERCP) has became an important means of di-agnosis and treatment in the department of gastroenterology, mainly used in obstructive jaundice, biliary diseases (such as choledocholithiasis, tumor cholangitis), pancreatic diseases (such as pancreatitis, pancreatic cancer, pancreatic cyst) and its early postoperative complications also have gotten more and more people's attention, including acute pancreatitis, bleeding, cholangitis, perforation, cardiopulmonary complications. Once not timely and effective treatment, it is easy to lead to death. This paper is going to review the risk factors and prevention for the ERCP early postoperative complications research progress, in order to improve the clinical physicians for the correct understanding of these complications and to guide the clinician positive and effective prevention and treatment of complications.