内镜下逆行胰胆管造影术后并发急性上 消化道出血的急诊内镜诊疗

Diagnosis and therapy of emergency endoscopy in acute upper gastrointestinal bleeding post-ERCP

摘要:

目的 分析内镜下逆行性胰胆管造影（ERCP）术后并发急性上消化道出血的临床表现和急诊内镜诊疗情况。方法 回顾性分析2007年9月-2012年9月于该科行ERCP 753例患者资料，其中并发急性上消化道出血8例。表现为黑便和（或）呕血，于ERCP术后1~3 d发生。7例行急诊内镜检查，5例行内镜下止血治疗，2例无需内镜止血治疗，另1例拒绝内镜检查给予抑酸治疗。结果 8例患者完全成功止血。结论 ERCP术后并发急性上消化道出血相对少见，但部分患者出血严重，急诊内镜诊疗简便、有效。

Abstract:

【Objective】 To investigate the clinical manifestation and emergency endoscopic diagnosis and therapy in acute gastrointestinal bleeding post-ERCP. 【Methods】 A retrospective study was performed in our institution of 753 patients who underwent ERCP between September 2007 to September 2012.There were 8 cases with acute gastrointestinal bleeding. The manifestation was melena or and haematemesis in 1-3 days after ERCP. 7 cases underwent emergency endoscopy and 5 cases implemented therapeutic endoscopy.1 case accepted drugs only. 【Results】 Bleeding was stopped in all cases successfully. 【Conclusions】 Emergency endoscopic diagnosis and therapy is feasible, effective, and safe in patients with acute gastrointestinal bleeding post-ERCP.