内镜治疗胆总管结石的研究进展
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摘要
胆总管结石(CBDS)是临床常见疾病,我国发病率较高,易导致胆管梗阻、继发胆管炎、胰腺炎和梗阻性黄疸,甚至危及生命,一旦确诊需及时治疗。既往CBDS以传统外科手术治疗为主,随着内镜技术的发展和进步,内镜下治疗CBDS成为新的趋势。以内镜逆行胰胆管造影术(ERCP)为代表的内镜技术已成为临床上治疗CBDS的重要手段。我国内镜技术起步较晚,经过内镜工作者的不懈努力,现已日益成熟和普及。目前,内镜下治疗CBDS主要技术有ERCP、内镜下乳头括约肌切开术、内镜下十二指肠乳头括约肌球囊扩张术、机械性碎石、体外冲击波碎石术、电液碎石术和激光碎石术等。
Common bile duct stones(CBDS) is a common clinical disease with high incidence in China,which may lead to biliary obstruction,secondary cholangitis,pancreatitis and obstructive jaundice,and even endanger life. Once diagnosed,timely treatment is needed. In the past,CBDS were mainly treated with traditional surgery. In recent years,with the development of endoscopic techniques,endoscopic treatment of CBDS has become a new trend. Endoscopic techniques,represented by endoscopic retrograde cholangiopancreatography(ERCP),have become an important means of clinical treatment of CBDS. China's endoscopic technology started late,and through the unremitting efforts of endoscopic workers,it has become increasingly mature and popular. At present,endoscopic treatment of CBDS has entered a new era,with ERCP,endoscopic sphincterotomy,endoscopic duodenal papillary sphincter balloon dilatation,mechanical lithotripsy,extracorporeal shock wave lithotripsy,electro-hydraulic lithotripsy and laser lithotripsy as representative technologies.
Common bile duct stones(CBDS) is a common clinical disease with high incidence in China,which may lead to biliary obstruction,secondary cholangitis,pancreatitis and obstructive jaundice,and even endanger life. Once diagnosed,timely treatment is needed. In the past,CBDS were mainly treated with traditional surgery. In recent years,with the development of endoscopic techniques,endoscopic treatment of CBDS has become a new trend. Endoscopic techniques,represented by endoscopic retrograde cholangiopancreatography(ERCP),have become an important means of clinical treatment of CBDS. China's endoscopic technology started late,and through the unremitting efforts of endoscopic workers,it has become increasingly mature and popular. At present,endoscopic treatment of CBDS has entered a new era,with ERCP,endoscopic sphincterotomy,endoscopic duodenal papillary sphincter balloon dilatation,mechanical lithotripsy,extracorporeal shock wave lithotripsy,electro-hydraulic lithotripsy and laser lithotripsy as representative technologies.
引文
[1]Tazuma S,Kanno K,Sugiyama A,et al.Nutritional factors(nutritional aspects)in biliary disorders:Bile acid and lipid metabolism in gallstone diseases and pancreaticobiliary maljunction[J].J Gas troenterol Hepatol,2013,28 Suppl 4:103-107.
[2]Ogura T,Higuchi K.A review of treatment options for bile duct stones[J].Expert Rev Gastroenterol Hepatol,2016,10(11):1271-1278.
[3]Kawai K,Akasaka Y,Murakami K,et al.Endoscopic sphincterotomy of the ampulla of Vater[J].Gastrointest Endosc,1974,20(4):148-151.
[4]侯贺斌.针状刀乳头预切开术治疗胆总管结石的安全性及有效性分析[D].济南:山东大学,2016.
[5]Ryozawa S,Itoi T,Katanuma A,et al.Japan Gastroenterological Endoscopy Society guidelines for endoscopic sphincterotomy[J].Dig Endosc,2018,30(2):149-173.
[6]Dumonceau JM,Andriulli A,Elmunzer BJ,et al.Prophylaxis of post-ERCP pancreatitis:European Society of Gastrointestinal Endoscopy(ESGE)Guideline-updated June 2014[J].Endoscopy,2014,46(9):799-815.
[7]Kageoka M,Watanabe F,Maruyama Y,et al.Long-term prognosis of patients after endoscopic sphincterotomy for choledocholithiasis[J].Dig Endosc,2009,21(3):170-175.
[8]Staritz M,Ewe K,Meyer zum Büschenfelde KH.Endoscopic papillary dilation(EPD)for the treatment of common bile duct stones and papillary stenosis[J].Endoscopy,1983,15 Suppl 1:197-198.
[9]Rosa B,Moutinho Ribeiro P,Rebelo A,et al.Endoscopic papillary balloon dilation after sphincterotomy for difficult choledocholithiasis:A case-controlled study[J].World J Gastrointest Endosc,2013,5(5):211-218.
[10]Kim KH,Rhu JH,Kim TN.Recurrence of bile duct stones after endoscopic papillary large balloon dilation combined with limited sphincterotomy:Long-term follow-up study[J].Gut Liver,2012,6(1):107-112.
[11]Baron TH,Harewood GC.Endoscopic balloon dilation of the biliary sphincter compared to endoscopic biliary sphincterotomy for removal of common bile duct stones during ERCP:A metaanalysis of randomized,controlled trials[J].Am J Gastroenterol,2004,99(8):1455-1460.
[12]Zhao HC,He L,Zhou DC,et al.Meta-analysis comparison of endoscopic papillary balloon dilatation and endoscopic sphincteropapillotomy[J].World J Gastroenterol,2013,19(24):3883-3891.
[13]Weinberg BM,Shindy W,Lo S.Endoscopic balloon sphincter dilation(sphincteroplasty)versus sphincterotomy for common bile duct stones[J/CD].Cochrane Database Syst Rev,2006(4):CD004890.
[14]Ersoz G,Tekesin O,Ozutemiz AO,et al.Biliary sphincterotomy plus dilation with a large balloon for bile duct stones that are difficult to extract[J].Gastrointest Endosc,2003,57(2):156-159.
[15]Attasaranya S,Cheon YK,Vittal H,et al.Large-diameter biliary orifice balloon dilation to aid in endoscopic bile duct stone removal:A multicenter series[J].Gastrointest Endosc,2008,67(7):1046-1052.
[16]Teoh AY,Cheung FK,Hu B,et al.Randomized trial of endoscopic sphincterotomy with balloon dilation versus endoscopic sphincterotomy alone for removal of bile duct stones[J].Gastroenterology,2013,144(2):341-345.
[17]Guo Y,Li C,Lei S,et al.Effects Comparison between Endoscopic Papillary Large Balloon Dilatation and Endoscopic Sphincterotomy for Common Bile Duct Stone Removal[J].Gastroenterol Res Pract,2015,2015:839346.
[18]Stefanidis G,Viazis N,Pleskow D,et al.Large balloon dilation vs.mechanical lithotripsy for the management of large bile duct stones:A prospective randomized study[J].Am J Gastroenterol,2011,106(2):278-285.
[19]Itoi T,Itokawa F,Sofuni A,et al.Endoscopic sphincterotomy combined with large balloon dilation can reduce the procedure time and fluoroscopy time for removal of large bile duct stones[J].Am J Gastroenterol,2009,104(3):560-565.
[20]Kim TH,Kim JH,Seo DW,et al.International consensus guidelines for endoscopic papillary large-balloon dilation[J].Gastrointest Endosc,2016,83(1):37-47.
[21]Jang HW,Lee KJ,Jung MJ,et al.Endoscopic papillary large balloon dilatation alone is safe and effective for the treatment of difficult choledocholithiasis in cases of BillrothⅡgastrectomy:A single center experience[J].Dig Dis Sci,2013,58(6):1737-1743.
[22]Kogure H,Tsujino T,Isayama H,et al.Short-and long-term outcomes of endoscopic papillary large balloon dilation with or without sphincterotomy for removal of large bile duct stones[J].Scand J Gastroenterol,2014,49(1):121-128.
[23]Kochhar R,Dutta U,Shukla R,et al.Sequential endoscopic papillary balloon dilatation following limited sphincterotomy for common bile duct stones[J].Dig Dis Sci,2009,54(7):1578-1581.
[24]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.
[25]姜海行,唐国都,黄杰安,等.内镜下乳头括约肌切开术与球囊扩张术治疗胆总管结石的临床对照研究[J].中国内镜杂志,2014,20(9):919-923.
[26]Liao WC,Tu YK,Wu MS,et al.Balloon dilation with adequate duration is safer than sphincterotomy for extracting bile duct stones:A systematic review and meta-analyses[J].Clin Gastroenterol Hepatol,2012,10(10):1101-1109.
[27]Paspatis GA,Paraskeva K,Vardas E,et al.Long-term recurrence of bile duct stones after endoscopic papillary large balloon dilation with sphincterotomy:4-year extended follow-up of a randomized trial[J].Surg Endosc,2017,31(2):650-655.
[28]Riemann JF,Seuberth K,Demling L.Mechanical lithotripsy of common bile duct stones[J].Gastrointest Endosc,1985,31(3):207-210.
[29]Chang WH,Chu CH,Wang TE,et al.Outcome of simple use of mechanical lithotripsy of difficult common bile duct stones[J].World J Gastroenterol,2005,11(4):593-596.
[30]Yang J,Jin H,Gu W,et al.Determinants of long-term complications of endoscopic sphincterotomy are infections and high risk factors of bile duct and not sphincter of Oddi dysfunction[J].Eur J Gastroenterol Hepatol,2015,27(4):412-418.
[31]Sauerbruch T,Delius M,Paumgartner G,et al.Fragmentation of gallstones by extracorporeal shock waves[J].N Engl J Med,1986,314(13):818-822.
[32]张诚,杨玉龙,吴非,等.内镜逆行胰胆管造影联合体外冲击波碎石治疗高龄患者难取性胆总管巨大结石[J].中华肝胆外科杂志,2016,22(4):258-261.
[33]Lomanto D,Fiocca F,Nardovino M,et al.ESWL experience in the therapy of difficult bile duct stones[J].Dig Dis Sci,1996,41(12):2397-2403.
[34]Chen YK,Parsi MA,Binmoeller KF,et al.Single-operator cholangioscopy in patients requiring evaluation of bile duct disease or therapy of biliary stones(with videos)[J].Gastrointest Endosc,2011,74(4):805-814.
[35]Kalaitzakis E,Webster GJ,Oppong KW,et al.Diagnostic and therapeutic utility of single-operator peroral cholangioscopy for indeterminate biliary lesions and bile duct stones[J].Eur JGastroenterol Hepatol,2012,24(6):656-664.
[36]Moon JH,Ko BM,Choi HJ,et al.Direct peroral cholangioscopy using an ultra-slim upper endoscope for the treatment of retained bile duct stones[J].Am J Gastroenterol,2009,104(11):2729-2733.
[37]Huang L,Yu QS,Zhang Q,et al.The Rendezvous Technique for Common Bile Duct Stones:A Meta-Analysis[J].Surg Laparosc Endosc Percutan Tech,2015,25(6):462-470.
[38]Ogura T,Masuda D,Takeuchi T,et al.Visualization and removal of intrahepatic bile duct stones through EUS-guided hepaticogastrostomy[J].Gastrointest Endosc,2016,84(3):531-532.
[39]谢宗贵,张希全,李凡东,等.胆道支架技术5年回顾(213例随访报告)[J].中华肝胆外科杂志,2002,8(10):595-597.
[40]Horiuchi A,Kajiyama M,Ichise Y,et al.Biliary stenting as alternative therapy to stone clearance in elderly patients with bile duct stones[J].Acta Gastroenterol Belg,2014,77(3):297-301.
[41]Cai JS,Qiang S,Baobing Y.Advances of recurrent risk factors and management of choledocholithiasis[J].Scand J Gastroenterol,2017,52(1):34-43.
[2]Ogura T,Higuchi K.A review of treatment options for bile duct stones[J].Expert Rev Gastroenterol Hepatol,2016,10(11):1271-1278.
[3]Kawai K,Akasaka Y,Murakami K,et al.Endoscopic sphincterotomy of the ampulla of Vater[J].Gastrointest Endosc,1974,20(4):148-151.
[4]侯贺斌.针状刀乳头预切开术治疗胆总管结石的安全性及有效性分析[D].济南:山东大学,2016.
[5]Ryozawa S,Itoi T,Katanuma A,et al.Japan Gastroenterological Endoscopy Society guidelines for endoscopic sphincterotomy[J].Dig Endosc,2018,30(2):149-173.
[6]Dumonceau JM,Andriulli A,Elmunzer BJ,et al.Prophylaxis of post-ERCP pancreatitis:European Society of Gastrointestinal Endoscopy(ESGE)Guideline-updated June 2014[J].Endoscopy,2014,46(9):799-815.
[7]Kageoka M,Watanabe F,Maruyama Y,et al.Long-term prognosis of patients after endoscopic sphincterotomy for choledocholithiasis[J].Dig Endosc,2009,21(3):170-175.
[8]Staritz M,Ewe K,Meyer zum Büschenfelde KH.Endoscopic papillary dilation(EPD)for the treatment of common bile duct stones and papillary stenosis[J].Endoscopy,1983,15 Suppl 1:197-198.
[9]Rosa B,Moutinho Ribeiro P,Rebelo A,et al.Endoscopic papillary balloon dilation after sphincterotomy for difficult choledocholithiasis:A case-controlled study[J].World J Gastrointest Endosc,2013,5(5):211-218.
[10]Kim KH,Rhu JH,Kim TN.Recurrence of bile duct stones after endoscopic papillary large balloon dilation combined with limited sphincterotomy:Long-term follow-up study[J].Gut Liver,2012,6(1):107-112.
[11]Baron TH,Harewood GC.Endoscopic balloon dilation of the biliary sphincter compared to endoscopic biliary sphincterotomy for removal of common bile duct stones during ERCP:A metaanalysis of randomized,controlled trials[J].Am J Gastroenterol,2004,99(8):1455-1460.
[12]Zhao HC,He L,Zhou DC,et al.Meta-analysis comparison of endoscopic papillary balloon dilatation and endoscopic sphincteropapillotomy[J].World J Gastroenterol,2013,19(24):3883-3891.
[13]Weinberg BM,Shindy W,Lo S.Endoscopic balloon sphincter dilation(sphincteroplasty)versus sphincterotomy for common bile duct stones[J/CD].Cochrane Database Syst Rev,2006(4):CD004890.
[14]Ersoz G,Tekesin O,Ozutemiz AO,et al.Biliary sphincterotomy plus dilation with a large balloon for bile duct stones that are difficult to extract[J].Gastrointest Endosc,2003,57(2):156-159.
[15]Attasaranya S,Cheon YK,Vittal H,et al.Large-diameter biliary orifice balloon dilation to aid in endoscopic bile duct stone removal:A multicenter series[J].Gastrointest Endosc,2008,67(7):1046-1052.
[16]Teoh AY,Cheung FK,Hu B,et al.Randomized trial of endoscopic sphincterotomy with balloon dilation versus endoscopic sphincterotomy alone for removal of bile duct stones[J].Gastroenterology,2013,144(2):341-345.
[17]Guo Y,Li C,Lei S,et al.Effects Comparison between Endoscopic Papillary Large Balloon Dilatation and Endoscopic Sphincterotomy for Common Bile Duct Stone Removal[J].Gastroenterol Res Pract,2015,2015:839346.
[18]Stefanidis G,Viazis N,Pleskow D,et al.Large balloon dilation vs.mechanical lithotripsy for the management of large bile duct stones:A prospective randomized study[J].Am J Gastroenterol,2011,106(2):278-285.
[19]Itoi T,Itokawa F,Sofuni A,et al.Endoscopic sphincterotomy combined with large balloon dilation can reduce the procedure time and fluoroscopy time for removal of large bile duct stones[J].Am J Gastroenterol,2009,104(3):560-565.
[20]Kim TH,Kim JH,Seo DW,et al.International consensus guidelines for endoscopic papillary large-balloon dilation[J].Gastrointest Endosc,2016,83(1):37-47.
[21]Jang HW,Lee KJ,Jung MJ,et al.Endoscopic papillary large balloon dilatation alone is safe and effective for the treatment of difficult choledocholithiasis in cases of BillrothⅡgastrectomy:A single center experience[J].Dig Dis Sci,2013,58(6):1737-1743.
[22]Kogure H,Tsujino T,Isayama H,et al.Short-and long-term outcomes of endoscopic papillary large balloon dilation with or without sphincterotomy for removal of large bile duct stones[J].Scand J Gastroenterol,2014,49(1):121-128.
[23]Kochhar R,Dutta U,Shukla R,et al.Sequential endoscopic papillary balloon dilatation following limited sphincterotomy for common bile duct stones[J].Dig Dis Sci,2009,54(7):1578-1581.
[24]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.
[25]姜海行,唐国都,黄杰安,等.内镜下乳头括约肌切开术与球囊扩张术治疗胆总管结石的临床对照研究[J].中国内镜杂志,2014,20(9):919-923.
[26]Liao WC,Tu YK,Wu MS,et al.Balloon dilation with adequate duration is safer than sphincterotomy for extracting bile duct stones:A systematic review and meta-analyses[J].Clin Gastroenterol Hepatol,2012,10(10):1101-1109.
[27]Paspatis GA,Paraskeva K,Vardas E,et al.Long-term recurrence of bile duct stones after endoscopic papillary large balloon dilation with sphincterotomy:4-year extended follow-up of a randomized trial[J].Surg Endosc,2017,31(2):650-655.
[28]Riemann JF,Seuberth K,Demling L.Mechanical lithotripsy of common bile duct stones[J].Gastrointest Endosc,1985,31(3):207-210.
[29]Chang WH,Chu CH,Wang TE,et al.Outcome of simple use of mechanical lithotripsy of difficult common bile duct stones[J].World J Gastroenterol,2005,11(4):593-596.
[30]Yang J,Jin H,Gu W,et al.Determinants of long-term complications of endoscopic sphincterotomy are infections and high risk factors of bile duct and not sphincter of Oddi dysfunction[J].Eur J Gastroenterol Hepatol,2015,27(4):412-418.
[31]Sauerbruch T,Delius M,Paumgartner G,et al.Fragmentation of gallstones by extracorporeal shock waves[J].N Engl J Med,1986,314(13):818-822.
[32]张诚,杨玉龙,吴非,等.内镜逆行胰胆管造影联合体外冲击波碎石治疗高龄患者难取性胆总管巨大结石[J].中华肝胆外科杂志,2016,22(4):258-261.
[33]Lomanto D,Fiocca F,Nardovino M,et al.ESWL experience in the therapy of difficult bile duct stones[J].Dig Dis Sci,1996,41(12):2397-2403.
[34]Chen YK,Parsi MA,Binmoeller KF,et al.Single-operator cholangioscopy in patients requiring evaluation of bile duct disease or therapy of biliary stones(with videos)[J].Gastrointest Endosc,2011,74(4):805-814.
[35]Kalaitzakis E,Webster GJ,Oppong KW,et al.Diagnostic and therapeutic utility of single-operator peroral cholangioscopy for indeterminate biliary lesions and bile duct stones[J].Eur JGastroenterol Hepatol,2012,24(6):656-664.
[36]Moon JH,Ko BM,Choi HJ,et al.Direct peroral cholangioscopy using an ultra-slim upper endoscope for the treatment of retained bile duct stones[J].Am J Gastroenterol,2009,104(11):2729-2733.
[37]Huang L,Yu QS,Zhang Q,et al.The Rendezvous Technique for Common Bile Duct Stones:A Meta-Analysis[J].Surg Laparosc Endosc Percutan Tech,2015,25(6):462-470.
[38]Ogura T,Masuda D,Takeuchi T,et al.Visualization and removal of intrahepatic bile duct stones through EUS-guided hepaticogastrostomy[J].Gastrointest Endosc,2016,84(3):531-532.
[39]谢宗贵,张希全,李凡东,等.胆道支架技术5年回顾(213例随访报告)[J].中华肝胆外科杂志,2002,8(10):595-597.
[40]Horiuchi A,Kajiyama M,Ichise Y,et al.Biliary stenting as alternative therapy to stone clearance in elderly patients with bile duct stones[J].Acta Gastroenterol Belg,2014,77(3):297-301.
[41]Cai JS,Qiang S,Baobing Y.Advances of recurrent risk factors and management of choledocholithiasis[J].Scand J Gastroenterol,2017,52(1):34-43.