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- Needle-knife Precut Endoscopic Papillotomy: Clinical Experience in 12 Patients with Difficult Cannulation
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題名 | Needle-knife Precut Endoscopic Papillotomy: Clinical Experience in 12 Patients with Difficult Cannulation=針型電刀內視鏡乳突先前切開術,12例之臨床經驗 |
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作者 | 林連福; 蕭泉豹; 何家奭; 趙博亮; 黃彼得; 童瑞欽; | 書刊名 | 中華民國消化系醫學雜誌 |
卷期 | 14:3 1997.09[民86.09] |
頁次 | 頁1-5 |
分類號 | 415.5091 |
關鍵詞 | 內視鏡乳突先前切開術; 針型電刀; 內視鏡逆行性膽胰管攝影術; Precut endoscopic papillotomy; Needle-knife papillotome; Endoscopic retrograde cholangiopancreatography; |
語文 | 英文(English) |
中文摘要 | 實施內視鏡逆行膽胰管攝影術,膽管攝影失敗率自10-15%不等。對於較困雞之病 例,尖細型管子,導引線方法。電刀及內視鏡乳突先前切開術乃解決方法。但內視鏡乳突先 前切開術之安全性有待評估。本篇將討論最近7年內經歷之12例乳突先前切開術及文獻回 顧。利用針電刀自十二指腸乳突口切起,成功率為83.3% (10/12),共有2例發生輕度胰臟炎。 其中7例為診斷及治療性,3例為診斷性。在有經驗之操作者及併有強烈適應症之下內視鏡 乳突先前切開術應可嘗試於內視逆行膽管攝影術較困難之病例。 |
英文摘要 | The failure rate of selective common bile duct (CBD) cannulation varies from 10-15% in endoscopic retrograde cholangiopancreatography (ERCP). Techniques to resolve the difficult cannulation cases include tapered tip catheter, guide wire, papillotome, and precut endoscopic papillotomy (EPT). But the safety of precut EPT remains controversial. Twelve cases of precut EPT performed for the last 7 year were presented together with literature review. Needle-knife papillotome (NKP) was used for precutting at duodenal papillary orifice, directing cranially. The total success rate was 83.3% (10/12), with complications of 2 mild pancreatitis. Seven were therapeutic, 3 were diagnostic. Precut EPT can be tried by an experienced endoscopist in difficult cases when biliary access is strongly indicated. |
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