Surgical intervention of severe post-ERCP-pancreatitis accompanied with duodenum perforation

Surgical intervention of severe post-ERCP-pancreatitis accompanied with duodenum perforation
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ERCP术后重症胰腺炎伴十二指肠穿孔的外科干预

DOI:
10.1631/jzus.b0900175
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发表时间:
2010-01
期刊:
J Zhejiang Univ Sci B
影响因子:
--
通讯作者:
张匀
张匀
中科院分区:
其他
文献类型:
--
作者:
张匀

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内镜逆行胰胆管造影术(ERCP)是一种广泛用于诊断和治疗胆管或胰管系统疾病的操作。ERCP术后并发十二指肠穿孔的重症急性胰腺炎(SAP)虽然罕见,但很严重。
Endoscopic retrograde cholangiopancreatography (ERCP) is a procedure widely used to diagnose and treat conditions of biliary or pancreatic ductal system. The post-ERCP severe acute pancreatitis (SAP) accompanied with duodenum perforation is rare but serious, remaining a challenge in clinic. In this study we report two such cases. Two Chinese women were treated for clinical suspicion of bile duct obstruction and underwent ERCP after admission. Both developed duodenum perforation and SAP after ERCP, and were managed in the intensive care unit (ICU) and required an organ-failure support. The surgical intervention of the peri-pancreatic debridement with lumber-abdominal compound incisions and postoperative washing and drainage was performed, and the two patients recovered well. The therapeutic effect of the peri-pancreatic debridement with lumber-abdominal compound incisions combined with postoperative washing and drainage in the patients of severe post-ERCP-pancreatitis (PEP) and duodenum perforation is satisfactory.
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