胆总管结石合并十二指肠乳头旁憩室对经内镜逆行胰胆管造影的影响及应对策略

万倩倩; 金京; 李俊

doi:10.3969/j.issn.1001-5256.2019.03.053

胆总管结石合并十二指肠乳头旁憩室对经内镜逆行胰胆管造影的影响及应对策略

DOI: 10.3969/j.issn.1001-5256.2019.03.053

昆明医科大学第二附属医院消化内科

详细信息

中图分类号: R657.4;R657.5
计量
- 文章访问数: 1472
- HTML全文浏览量: 33
- PDF下载量: 299
- 被引次数: 0
出版历程
- 出版日期: 2019-03-20

Influence of common bile duct stones and juxta-papillary duodenal diverticula on endoscopic retrograde cholangiopancreatography and related coping strategies

Department of Gastroenterology, The Second Affiliated Hospital of Kunming Medical University

摘要

摘要:
十二指肠乳头旁憩室(JPD)易引起胆胰疾病,但JPD改变了乳头位置、形状,增加了经内镜逆行胰胆管造影(ERCP)插管及取石的难度,还易引发一系列并发症。结合国内外相关文献,简述了JPD的分型、发生及其与胆、胰系统疾病的关系,分析了胆总管结石合并JPD对ERCP的影响,归纳了应对的策略,以期对临床诊治提供建议和依据。
- 胆总管结石 /
- 十二指肠乳头旁憩室 /
- 胰胆管造影术,内窥镜逆行 /
- 手术后并发症 /
- 综述
Abstract:
Juxta-papillary duodenal diverticula ( JPD) may easily cause biliary and pancreatic diseases. JPD changes papillary positionand shape and increases the difficulties in endoscopic retrograde cholangiopancreatography ( ERCP) intubation and stone removal, and itmay also cause a series of complications. With reference to related articles in China and foreign countries, this article briefly describes thetyping and development of JPD and its association with biliary and pancreatic diseases, analyzes the influence of common bile duct stones andJPD on ERCP, and summarizes related coping strategies, in order to provide suggestions and bases for clinical diagnosis and treatment.
- choledocholithiasis /
- jutapapillary duodenal diver-ticulum /
- cholangiopancreatography, endoscopic retrograde /
- postoperativecomplications /
- review

HTML全文

参考文献(37)

[1] VAIRA D, DOWSETT JF, HATFIELD AR, et al. Is duodenal di-verticulum a risk factor for sphincterotomy?[J]. Gut, 1989, 30 (7) :939-942.

[2] COMAN IS, RADU EV, SANDRU V, et al. Retained commonbile duct lithiasis at a pacient with periampullary duodenal di-verticulum[J]. Chirurgia (Bucur) , 2016, 111 (6) :517-521.

[3] KIM KH, KIM TN. Endoscopic papillary large balloon dilation inpatients with periampullary diverticula[J]. World J Gastroen-terol, 2013, 19 (41) :7168-7176.

[4] LEE JJ, BRAHM G, BRUNI SG, et al. Biliary dilatation in thepresence of a periampullary duodenal diverticulum[J]. Br JRadiol, 2015, 88 (1053) :20150149.

[5] MAJOR P, WINIARSKI M, PEDZIWIATR M, et al. A Periampul-lary duodenal diverticula in patient with choledocholithiasis-single endoscopic center experience[J]. Pol Przegl Chir, 2016, 88 (6) :328-333.

[6] KIM CW, CHANG JH, KIM JH, et al. Size and tupe of periam-pullary duodenal diverticula are associated with bile duct dime-ter and recurrence of bile duct stones[J]. J GastroenterolHepatol, 2013, 28 (5) :893-898.

[7] OZOGUL B, OZTURK G, KISAOGLU A, et al. The clinical im-portance of different localizations of the papilla associated withjuxtapapillary duodenal diverticula[J]. Can J Surg, 2014, 57 (5) :337-341.

[8] LUO MH, LEI T, DAI ZM, et al. Influence of periampullary di-verticulum on common bile duct stone[J]. Chin J Gastroen-terol, 2017, 22 (8) :478-481. (in Chinese) 骆梦华, 雷婷, 代忠明, 等.十二指肠乳头旁憩室对胆总管结石的影响[J].胃肠病学, 2017, 22 (8) :478-481.

[9] CHEN L, XIA L, LU Y, et al. Influence of periampullary diver-ticulum on the occurrence of pancreaticobiliary diseases andoutcomes of endoscopic retrograde cholangiopancreatography[J]. Eur J Gastroenterol Hepatol, 2017, 29 (1) :105-111.

[10] WANG CQ, MA YC, ZHU ZY, et al. Risk factors for recur-rence of common bile duct stones after endoscopic retrogradecholangiopancreatography[J]. J Chin Hepatol, 2017, 33 (2) :297-299. (in Chinese) 王春秋, 马颖才, 朱志勇, 等.经内镜逆行胰胆管造影术后胆总管结石复发的危险因素分析[J].临床肝胆病杂志, 2017, 33 (2) :297-299.

[11] QIAN R, CHEN XP. Risk factors for recurrence after surgeryfor common bile duct stones[J]. J Chin Hepatol, 2017, 33 (2) :394-399. (in Chinese) 钱锐, 陈晓鹏.胆总管结石术后复发的危险因素[J].临床肝胆病杂志, 2017, 33 (2) :394-399.

[12] BRUNO M, BRIZZI RF, MEZZABOTTA L, et al. Unexplainedcommon bile duct dilatation with normal serum liver enzymes:Di-agnostic yield of endoscopic ultrasound and follow-up of thiscondition[J]. J Clin Gastroenterol, 2014, 48 (8) :e67-e70.

[13] LI M, WANG H, WANG ZZ, et al. Relationship between duo-denal diverticula and biliary and pancreatic diseases[J]. JNingxia Medical College, 2014, 36 (11) :1244-1246. (inChinese) 黎明, 王浩, 王佐正, 等.十二指肠乳头旁憩室与胆胰疾病的关系[J].宁夏医科大学学报, 2014, 36 (11) :1244-1246.

[14] EGAWA N, KAMISAWA T, TU Y, et al. The role of juxtapapillaryduodenal diverticulum in the formation of gallbladder stones[J].Hepatogastroenterology, 1998, 45 (22) :917-920.

[15] ZOEPF T, ZOEPF DS, ARNOLD JC, et al. The relationshipbetween juxtapapillary duodenal diverticula and disorders ofthe biliopancreatic system:Analysis of 350 patients[J]. Gas-trointest Endosc, 2001, 54 (1) :56-61.

[16] NARANJO-CHAVEZ J, SCHWARZ M, LEDER G, et al. Amp-ullary but not periampullary duodenal diverticula are an etiolog-ic factor for chronic pancreatitis[J]. Dig Surg, 2000, 17 (4) :358-363.

[17] BRUMO M, RIBALDONE DG, FASULO R, et al. Is there a linkbetween periampullary diverticula and biliopancreatic disease?An Eus approach to answer the question[J]. Dig Liver Dis, 2018, 50 (9) :925-930.

[18] PANG EJ, CHEN W, YANG J, et al. The relationship betweenPAD and cholangiopancreatic diseases[J]. J Hepatopancre-atobiliary Surg, 2012, 24 (1) :30-32. (in Chinese) 庞尔君, 陈巍, 杨俊, 等.十二指肠乳头旁憩室与胆胰疾病的关系[J].肝胆胰外科杂志, 2012, 24 (1) :30-32.

[19] LOFFELD RJ, DEKKERS PE. The Impact of duodenal divertic-uli and the execution of endoscopic retrograde cholangiopan-creaticography[J]. Int Sch Res Notices, 2016, 2016:5026289.

[20] ALTONBARY AY, BAHGAT MH. Endoscopic retrograde cholangio-pancreatography in periampullary diverticulum:The challenge ofcannulation[J]. World J Gastrointest Endosc, 2016, 8 (6) :282-287.

[21] CORRAL JE, MOUSA OY, GOMEZ V, et al. Impact of peri-ampullary diverticulum on ERCP performance:A matchedcase-control study[J]. Clin Endosc, 2018.[Epub aheadof print]

[22] WANG BC, SHI WB, ZHANG WJ, et al. Entering the duodenal di-verticulum:A method for cannulation of the intradiverticularpapilla[J]. World J Gastroenterol, 2012, 18 (48) :7394-7396.

[23] CHEN LL, LIU J, DENG DH, et al. Influence of bile duct stonescombined with duodenal diverticula on endoscopic retrogradecholangiopancreatography and its strategy[J]. Chin J Endosc, 2014, 20 (9) :934-937. (in Chinese) 陈莉丽, 刘军, 邓登豪, 等.胆管结石合并十二指肠乳头旁憩室对内镜下逆行胰胆管造影术的影响及对策[J].中国内镜杂志, 2014, 20 (9) :934-937.

[24] WEN W, WANG M, FAN ZN. The principle and clinical appli-cative value of double-wire technique in difficult ERCP[J].Chin J Dig Endosc, 2009, 26 (11) :599-600. (in Chinese) 文卫, 王敏, 范志宁.双导丝技术在困难ERCP患者中的应用[J].中华消化内镜杂志, 2009, 26 (11) :599-600.

[25] ZHUANG DH, ZHANG K. Operation skills of endoscopic retro-grade cholangiopancreatography in pancreaticobiliary patientswith periampullary duodenal diverticula[J]. J Clin Hepatol, 2016, 32 (9) :1760-1762. (in Chinese) 庄东海, 张锎.合并十二指肠乳头旁憩室的胆胰疾病患者行经内镜逆行胰胆管造影的操作技巧[J].临床肝胆病杂志, 2016, 32 (9) :1760-1762.

[26] KIM J, LEE JS, KIM EJ, et al. The usefuiness of cap-assis-ted endoscopic retrograde cholangiopancreatography for can-nulation complicated by a periampullary diverticulum[J]. Ko-rean J Gastroenterol, 2018, 71 (3) :168-172.

[27] CHEN HH, LI GQ, TANG LX. Influence of duodenal diverticulaon ERCP intubation and EST common bile duct stones removal[J]. J Med Sci Cent South China, 2012, 40 (4) :394-396. (in Chinese) 陈宏辉, 李国庆, 唐露笑.十二指肠乳头旁憩室对ERCP插管及EST胆总管取石的影响[J].中南医学科学杂志, 2012, 40 (4) :394-396.

[28] LIU SP, FANG CH, DONG WG, et al. Effects of juxtapapillaryduodenal diverticula on Endoscopic sphincterotomy in treatingcommon bile duct stones and its complication[J]. Chin J ChinGastroenterol, 2013, 25 (6) :330-333. (in Chinese) 刘少平, 方春华, 董卫国, 等.十二指肠乳头旁憩室对内镜十二指肠乳头切开术治疗胆总管结石及其并发症的影响[J].临床消化病杂志, 2013, 25 (6) :330-333.

[29] JI M, WANG YJ, YU L, et al. Endoscopic sphincterotomy liusballon dilation for difficult bile duct stones[J]. Chin J Dig En-dosc, 2010, 27 (11) :568-571. (in Chinese) 冀明, 王拥军, 俞力, 等.十二指肠乳头括约肌小切开联合气囊扩张治疗难治性胆总管结石的疗效评价[J].中华消化内镜杂志, 2010, 27 (11) :568-571.

[30] XIE Q, SHANG GC, HAN YZ, et al. Value of endoscopicsphincterotomy combined with balloon dilation in the treatmntof common bile duct stones with duodenal diverticula[J].Chin J Dig, 2016, 36 (6) :383-387. (in Chinese) 谢庆, 尚国臣, 韩岩智, 等.内镜下乳头括约肌小切开联合球囊扩张术治疗合并十二指肠乳头旁憩室的胆总管结石的价值[J].中华消化杂志, 2016, 36 (6) :383-387.

[31] DING CS, HAN DZ. Endoscopic diagnosis and treatment ofduodenal diverticula:An analysis of 256 cases[J]. Chin J En-dosc, 2014, 20 (3) :310-312. (in Chinese) 丁春生, 韩大正.内镜诊治十二指肠乳头旁憩室256例分析[J].中国内镜杂志, 2014, 20 (3) :310-312.

[32] XU JW, WANG SY, SONG ZJ, et al. Endoscopic treatmnt ofduodenal diverticula with common bile duct stones[J]. Chin JEndosc, 2009, 15 (2) :116-119. (in Chinese) 许君望, 王淑英, 宋政军, 等.十二指肠乳头旁憩室合并胆总管结石的内镜治疗[J].中国内镜杂志, 2009, 15 (2) :116-119.

[33] PARLAK E, SUNA N, KUZU UB, et al. Diverticulum with pa-pillae:Does position of papilla affect technical success?[J].Surg Laparosc Endosc Percutan Tech, 2015, 25 (5) :395-398.

[34] AFTAB AR, DONNELLAN F, ZEB F, et al. The clinical signifi-cance of juxtapapillary duodenal diverticula identified at ERCP[J]. Gastrointest Endosc, 2009, 69 (6) :1197.

[35] ZHANG YX, HUANG Q, MA JH. et al. Emergency endoscopictreatment clinical analysis of 27 cases of duodenal papilla hemor-rhage after endoscopic retrograde cholangiopancreatography[J]. Chin J Endosc, 2016, 22 (2) :83-86. (in Chinese) 张燕霞, 黄茜, 马久红, 等.急诊内镜下治疗内镜下逆行胰胆管造影术后十二指肠乳头出血27例临床分析[J].中国内镜杂志, 2016, 22 (2) :83-86.

[36] KARAAHMET F, KEKILLI M. The presence of periampullary di-verticulum increased the complications of endoscopic retro-grade cholangiopancreatography[J]. Eur J GastroenterolHepatol, 2018, 30 (9) :1009-1012.

[37] FAN YY, LIN MJ, LIN ZH, et al. Relation between periampul-lary diverticula and choledocholithiasis and the effect of peri-ampullary diverticula on removing calculus by endoscopic ret-rograde cholangiopancreatography[J]. Chin Gen Pract, 2016, 19 (9) :1028-1031. (in Chinese) 范燕云, 林梦婕, 林振和, 等.十二指肠乳头旁憩室与胆总管结石的关系及其对经内镜逆行胰胆管造影术取石效果的影响[J].中国全科医学, 2016, 19 (9) :1028-1031.

施引文献

资源附件(0)

访问统计