Acute biliary pancreatitis, endoscopy, and laparoscopy

被引：14

作者：

Borie, F

Fingerhut, A

Millat, B

机构：

[1] Univ Hosp Ctr Montpellier, Hop St Eloi, Dept Viseral Surg A, F-34295 Montpellier 5, France

[2] Ctr Hosp Intercommunal Poissy, Dept Gastrointestinal Surgl, F-78303 Poissy, France

来源：

SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES | 2003年 / 17卷 / 08期

关键词：

bilary pancreatitis; endoscopic sphincterotomy; laparoscopic common bile duct exploration; pancreatic necrosis management;

D O I：

10.1007/s00464-002-9207-x

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Current practices for diagnosis and treatment of common bile duct stones are not evidence-based. Acute billary pancreatitis (ABP) is a specific situation in which endoscopic procedures are either overused or misused. Pancreatitis is a poor marker for choledocholithiasis. Prognostic systems are accurate to discern those patients with ABP who do not need aggressive procedures. Patients with a benign ABP do not need an endoscopic approach. Laparoscopic common bile duct exploration is an underrated treatment for patients with choledocholithiasis. Laparoscopic approach to infected necrotic collections and pseudocysts warrant futher investigations.

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收藏

页码：1175 / 1180

页数：6

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