Endoscopic retrograde cholangiopancreatography: maximizing benefits and minimizing risks.
Endoscopic retrograde cholangiopancreatography: maximizing benefits and minimizing risks.
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DOI：
10.1016/j.giec.2012.05.002
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发表时间：
2012-07-01
影响因子：
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通讯作者：
Cotton, Peter B
中科院分区：
文献类型：
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作者：
Cotton, Peter B
内窥镜逆行胆胰管造影术(ERCP)因其在治疗已知或可疑胆系和胰腺疾病患者中的价值而在全世界范围内得到极大的普及。ERCP的结果与运营商有关，存在重大风险。当内窥镜医生没有足够的培训和经验进行手术时，不良事件更有可能发生。最好的结果应该发生在以最好的理由进行程序时，在理想的环境和训练有素的团队中使用最佳技术，意识到风险并找到将风险降至最低的方法。本文讨论ERCP的这些相互交织的要素。
Endoscopic retrograde cholangiopancreatography (ERCP) has become enormously popular throughout the world because of its proven value in the management of patients with known and suspected biliary and pancreatic disease. The results of ERCP are operator dependent, and there are significant risks. Adverse events are more likely when procedures are performed by endoscopists with inadequate training and experience. The best outcomes should occur when procedures are done for the best reasons, using optimal techniques in an ideal environment and a well-trained team, conscious of the risks and the ways to minimize them. This article discusses these intertwining elements of ERCP.