不同预切开术在ERCP困难插管时的应用进展
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摘要
内镜逆行胰胆管造影术(endoscopic retrograde cholangiopancreatography,ERCP)已逐渐成为治疗性ERCP,困难插管是治疗性ERCP的常见难题,解决困难插管的常用方法之一即预切开术,根据具体情况选择不同的预切开术可提高插管成功率、降低并发症发生率等,本文主要阐述不同预切开术在困难插管时的应用、插管成功率、并发症发生率及注意事项。
Endoscopic retrograde cholangiopancreatography(ERCP) has become therapeutic ERCP gradually. Difficult cannulation is a common problem in therapeutic ERCP. One of the commonly used methods to solve difficult cannulation is precuting, and different precutings are needed according to specific conditions. The incision technique can increase the success rate of cannulation and reduce complications. This article mainly describes the application of different precuting techniques in difficult cannulation, the success rate of cannulation, the incidence of complications, and precautions.
Endoscopic retrograde cholangiopancreatography(ERCP) has become therapeutic ERCP gradually. Difficult cannulation is a common problem in therapeutic ERCP. One of the commonly used methods to solve difficult cannulation is precuting, and different precutings are needed according to specific conditions. The incision technique can increase the success rate of cannulation and reduce complications. This article mainly describes the application of different precuting techniques in difficult cannulation, the success rate of cannulation, the incidence of complications, and precautions.
引文
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[19] KATSINELOS P,GKAGKALIS S,CHATZIMAVROUDIS G,et al.Comparison of three types of precut technique to achieve common bile duct cannulation:a retrospective analysis of 274 cases [J].Dig Dis Sci,2012,57(12):3286-3292.DOI:10.1007/s10620-012-2271-8.
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[29] HALTTUNEN J,KER?NEN I,UDD M,et al.Pancreatic sphincterotomy versus needle knife precut in difficult biliary cannulation [J].Surg Endosc,2009,23(4):745-749.DOI:10.1007/s00464-008-0056-0.
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[2] BAILEY A A,BOURKE M J,WILLIAMS S J,et al.A prospective randomized trial of cannulation technique in ERCP:effects on technical success and post-ERCP pancreatitis [J].Endoscopy,2008,40(4):296-301.DOI:10.1055/s-2007-995566.
[3] KAFFES A J,SRIRAM P V,RAO G V,et al.Early institution of pre-cutting for difficult biliary cannulation:a prospective study comparing conventional vs a modified technique [J].Gastrointest Endosc,2005,62(5):669-674.DOI:10.1016/j.gie.2005.05.022.
[4] SIEGEL J H.Precut papillotomy:a method to improve success of ERCP and papillotomy [J].Endoscopy,1980,12(3):130-133.DOI:10.1055/s-2007-1021728.
[5] HUIBREGTSE K,KATON R M,TYTGAT G N.Precut papillotomy via fine-needle knife papillotome:a safe and effective technique [J].Gastrointest Endosc,1986,32(6):403-405.
[6] 周平红,姚礼庆,高卫东,等.针形切开刀在内镜胆管造影困难插管中的应用[J].中华消化内镜杂志,2006,23(4):284-286.DOI:10.3760/cma.j.issn.1007-5232.2006.04.015.
[7] ZHOU P H,YAO L Q,ZHANG Y Q,et al.Endoscopic biliary drainage for biliary obstruction [J].Hepatobiliary Pancreatic Dis Int,2003,2(4):598-601.
[8] MAVROGIANNIS C,LIATSOS C,ROMANOS A,et al.Needle-knife fistulotomy versus needle-knife precut papillotomy for the treatment of common bile duct stones [J].Gastrointest Endosc,1999,50(3):334-339.DOI:10.1053/ge.1999.v50.98593.
[9] LI J W,ANG T L,KAM J W,et al.The learning curve for needle knife precut sphincterotomy revisited [J].United Eur Gastroenterol J,2017,5(8):1116-1122.DOI:10.1177/2050640617701808.
[10] LAWRENCE C,ROMAGNUOLO J,COTTON P B,et al.Post-ERCP pancreatitis rates do not differ between needle-knife and pull-type pancreatic sphincterotomy techniques:a multiendoscopist 13-year experience [J].Gastrointest Endosc,2009,69(7):1271-1275.DOI:10.1016/j.gie.2008.10.015.
[11] LEE T H,BANG B W,PARK S H,et al.Precut fistulotomy for difficult biliary cannulation:is it a risky preference in relation to the experience of an endoscopist?[J].Dig Dis Sci,2011,56(6):1896-1903.DOI:10.1007/s10620-010-1483-z.
[12] SUNDARALINGAM P,MASSON P,BOURKE M J.Early precut sphincterotomy does not increase risk during endoscopic retrograde cholangiopancreatography in patients with difficult biliary access:a Meta-analysis of randomized controlled trials [J].Clin Gastroenterol Hepatol,2015,13(10):1722-1729.e2.DOI:10.1016/j.cgh.2015.06.035.
[13] ZHENG M,LIU X,LI N,et al.Emergency endoscopic needle-knife precut papillotomy in acute severe cholangitis resulting from impacted common bile duct stones at duodenal papilla [J].Dig Liver Dis,2018,50(3):267-270.DOI:10.1016/j.dld.2017.11.015.
[14] FIOCCA F,FANELLO G,CEREATTI F,et al.Early‘shallow’ needle-knife papillotomy and guidewire cannulation:an effective and safe approach to difficult papilla [J].Therap Adv Gastroenterol,2015,8(3):114-120.DOI:10.1177/1756283X15576466.
[15] BAYSAL B,AKIN H,MASRI O,et al.A novel round insulated tip papillotome as an alternative to the classic needle-knife for precut sphincterotomy in endoscopic retrograde cholangiopancreatography [J].Gastroenterol Res Pract,2015,2015:972041.DOI:10.1155/2015/972041.
[16] LIU F,LIU J,LI Z.New role of the dual knife for precut papillotomy in difficult bile duct cannulation [J].Dig Endosc,2013,25(3):329-332.DOI:10.1111/j.1443-1661.2012.01358.x.
[17] 文卫,范志宁,王敏,等.针状刀乳头开窗术在困难性ERCP中的临床应用价值[J].中国消化内镜,2007,11(7):9-11.WEN W,FAN Z N,WANG M,et al.The clinical applicative value of needle-knife fistulosphincterotomy in difficult ERCP [J].Digestive Disease and Endoscopy,2007,11(7):9-11.
[18] LIAO W C,ANGSUWATCHARAKON P,ISAYAMA H,et al.International consensus recommendations for difficult biliary access [J].Gastrointest Endosc,2017,85(2):295-304.DOI:10.1016/j.gie.2016.09.037.
[19] KATSINELOS P,GKAGKALIS S,CHATZIMAVROUDIS G,et al.Comparison of three types of precut technique to achieve common bile duct cannulation:a retrospective analysis of 274 cases [J].Dig Dis Sci,2012,57(12):3286-3292.DOI:10.1007/s10620-012-2271-8.
[20] LOPES L,DINIS-RIBEIRO M,ROLANDA C.Safety and efficacy of precut needle-knife fistulotomy [J].Scand J Gastroenterol,2014,49(6):759-765.DOI:10.3109/00365521.2014.898085.
[21] JIN Y J,JEONG S,LEE D H.Utility of needle-knife fistulotomy as an initial method of biliary cannulation to prevent post-ERCP pancreatitis in a highly selected at-risk group:a single-arm prospective feasibility study [J].Gastrointest Endosc,2016,84(5):808-813.DOI:10.1016/j.gie.2016.04.011.
[22] CENNAMO V,FUCCIO L,REPICI A,et al.Timing of precut procedure does not influence success rate and complications of ERCP procedure:a prospective randomized comparative study [J].Gastrointest Endosc,2009,69(3 Pt 1):473-479.DOI:10.1016/j.gie.2008.09.037.
[23] GOFF J S.Long-term experience with the transpancreatic sphincter pre-cut approach to biliary sphincterotomy [J].Gastrointest Endosc,1999,50(5):642-645.
[24] 靳明华,李弘,梁勇,等.不同方式针形刀切开在十二指肠乳头结石嵌顿3种情况中的应用及术中配合[J].实用临床医学,2016,17(2):65-67.DOI:10.13764/j.cnki.lcsy.2016.02.027.JIN M H,LI H,LIANG Y,et al.Application and intraoperative coordination of different neddle-knife precut techniques in three situations of incarcerated calculi of duodenal papilla [J].Practical Clinical Medicine,2016,17(2):65-67.DOI:10.13764/j.cnki.lcsy.2016.02.027.
[25] 仲恒高,缪林,季国忠,等.经胰管胆胰管隔膜预切开术留置导丝法和胰管支架法在困难性经内镜逆行胰胆管造影中的应用[J].临床肝胆病杂志,2015,31(12):2070-2072.DOI:10.3969/j.issn.1001-5256.2015.12.020.ZHONG H G,MIU L,JI G Z,et al.Application of transpancreatic septotomy with pancreatic duct stent or guide wire as precutting technique in difficult endoscopic retrograde cholangiopancreatography [J].J Clin Hepatol,2015,31(12):2070-2072.DOI:10.3969/j.issn.1001-5256.2015.12.020.
[26] SARITAS U,USTUNDAG Y,HARMANDAR F.Precut sphincterotomy:a reliable salvage for difficult biliary cannulation [J].World J Gastroenterol,2013,19(1):1-7.DOI:10.3748/wjg.v19.i1.1.
[27] LEE Y J,PARK Y K,LEE M J,et al.Different strategies for transpancreatic septotomy and needle knife infundibulotomy due to the presence of unintended pancreatic cannulation in difficult biliary cannulation [J].Gut Liver,2015,9(4):534-539.DOI:10.5009/gnl14223.
[28] MIAO L,LI Q P,ZHU M H,et al.Endoscopic transpancreatic septotomy as a precutting technique for difficult bile duct cannulation [J].World J Gastroenterol,2015,21(13):3978-3982.DOI:10.3748/wjg.v21.i13.3978.
[29] HALTTUNEN J,KER?NEN I,UDD M,et al.Pancreatic sphincterotomy versus needle knife precut in difficult biliary cannulation [J].Surg Endosc,2009,23(4):745-749.DOI:10.1007/s00464-008-0056-0.
[30] PéCSI D,FARKAS N,HEGYI P,et al.Transpancreatic sphincterotomy has a higher cannulation success rate than needle-knife precut papillotomy-a meta-analysis [J].Endoscopy,2017,49(9):874-887.DOI:10.1055/s-0043-111717.
[31] KIM C W,CHANG J H,KIM T H,et al.Sequential double-guidewire technique and transpancreatic precut sphincterotomy for difficult biliary cannulation [J].Saudi J Gastroenterol,2015,21(1):18-24.DOI:10.4103/1319-3767.151212.
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