在尝试胆道插管时，导丝不自主地穿过胰腺，使用双导丝和胰腺假体进行经胰腺括约肌切开术。

IF 2.7 4区医学 Q2 GASTROENTEROLOGY & HEPATOLOGY

Revista Espanola De Enfermedades Digestivas Pub Date : 2024-10-18 DOI:10.17235/reed.2024.10826/2024

David Barquero Declara, Alejandro Blasco Pelicano, Alfredo Mata Bilbao

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引用次数: 0

摘要

在这项工作中，我们回顾了在ERCP过程中处理困难插管情况的方法。在解决这一问题的已知方案中，我们提出了一种技术变体，我们认为这种变体可以成功完成ERCP，并发症发生率与传统ERCP相似，至少根据我们的经验是如此。为此，我们回顾了 1488 例 ERCP 和 23 例应用该技术变体的病例及其结果和并发症。

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Transpancreatic sphincterotomy with double guidewire and pancreatic prothesis after involuntary passage of the guidewire to the pancreas in attempts at biliary cannulation.

In this work we review the approach to difficult cannulation situations during ERCP. Among the known options to solve this problem, we suggest a technical variant that we believe can be useful to successfully complete ERCP with complication rates similar to a conventional ERCP, at least in our experience. To do this, we reviewed 1488 ERCPs and the 23 cases in which we applied this technical variant with its results and complications.

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来源期刊

Revista Espanola De Enfermedades Digestivas 医学-胃肠肝病学

CiteScore

2.00

自引率

25.00%

发文量

400

审稿时长

6-12 weeks

期刊介绍： La Revista Española de Enfermedades Digestivas, Órgano Oficial de la Sociedad Española de Patología Digestiva (SEPD), Sociedad Española de Endoscopia Digestiva (SEED) y Asociación Española de Ecografía Digestiva (AEED), publica artículos originales, editoriales, revisiones, casos clínicos, cartas al director, imágenes en patología digestiva, y otros artículos especiales sobre todos los aspectos relativos a las enfermedades digestivas.