Endosonography-guided cholangiopancreatography as a salvage drainage procedure for obstructed biliary and pancreatic ducts

被引：46
作者：
Perez-Miranda, Manuel [1 ]
de la Serna, Carlos [1 ]
Diez-Redondo, Pilar [1 ]
Vila, Juan J. [2 ]
机构：
[1] Hosp Univ Rio Hortega, Endoscopy Unit, Av Dulzaina 2, Valladolid 47012, Spain
[2] Hosp Navarra, Gastroenterol Dept, Endoscopy Unit, Pamplona 31008, Spain
来源：
WORLD JOURNAL OF GASTROINTESTINAL ENDOSCOPY | 2010年 / 2卷 / 06期
关键词：
Endosonography; Drainage; Endoscopy; Digestive system; Therapeutics; Endoscopic ultrasound; Endoscopic retrograde cholangiopancreatography;
D O I：
10.4253/wjge.v2.i6.212
中图分类号：
R57 [消化系及腹部疾病];
学科分类号：
摘要：
Endoscopic ultrasound allows transmural access to the bile or pancreatic ducts and subsequent contrast injection to provide ductal drainage under fluoroscopy using endoscopic retrograde cholangiopancreatography (ERCP)-based techniques. Differing patient specifics and operator techniques result in six possible variant approaches to this procedure, known as endoso-ography-guided cholangiopancreatography (ESCP). ESCP has been in clinical use for a decade now, with over 300 cases reported. It has become established as a salvage procedure after failed ERCP in the palliation of malignant biliary obstruction. Its role in the management of clinically severe chronic/relapsing pancreatitis remains under scrutiny. This review aims to clarify the concepts underlying the use of ESCP and to provide technical tips and a detailed step-by-step procedural description. (C) 2010 Baishideng. All rights reserved.
引用
收藏
页码：212 / 222
页数：11
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