乳头肌切开术在合并十二指肠乳头旁憩室的 特发性胰腺炎中的应用价值

The application value of EST in idiopathic pancreatitis combined with duodenal juxtapapillary diverticulum

摘要:

目的 评价乳头肌切开术（EST）在合并十二指肠乳头旁憩室的特发性胰腺炎中的诊治价值。方法 对该院7年来收治的18例合并十二指肠乳头旁憩室的特发性胰腺炎进行回顾性研究。结果 18例患者成功17例，成功率94.44%，EST 17例，其中中切开9例，小切开+柱状气囊扩张8例，胆管支架置入3例，鼻胆管引流14例，无严重的出血、穿孔等并发症。结论 EST对于合并十二指肠乳头旁憩室的特发性胰腺炎，安全有效，能够进一步明确病因、有效地控制并预防复发，值得临床推广。

Abstract:

【Objective】 To evaluate the diagnosis value of EST (endoscopic sphincterotomy) in patients with idiopathic pancreatitis combined with duodenal juxtapapillary diverticulum. 【Methods】 Retrospective study of 18 patients with idiopathic pancreatitis combined with duodenal juxtapapillary diverticula were carried out in our hospital for seven years. 【Results】 ERCP were completed in 17 cases out of 18 patients and the success rate was 94.44%, with EST in 17 cases, including 9 cases of middle incision, 8 cases of small incision and balloon dilatation, bile duct stenting in 3 patients, endoscopic nasal bile duct drainage in 14 cases, no severe bleeding, perforation and other complications. 【Conclusion】 EST for the patients with idiopathic pancreatitis combined with juxtapapillary diverticulum is safe and effective, can clarify the etiology, effectively control and prevent recurrence, worthy of clinical application.