Role of endoscopic ultrasound/SpyScope in diagnosis and treatment of choledocholithiasis in pregnancy  

作　　者：Mohit Girotra Niraj Jani 

机构地区：[1]Division of Gastroenterology,Department of Medicine,Johns Hopkins University [2]Sinai Hospital Program in Internal Medicine,Baltimore,MD 21215,United States

出　　处：《World Journal of Gastroenterology》2010年第28期3601-3602,共2页世界胃肠病学杂志（英文版）

摘　　要：Cholelithiasis and choledocholithiasis occur frequently in pregnancy and their management can be complicated. Traditional endoscopic retrograde cholangiopancreatography(ERCP)is the first line treatment for choledocholithiasis,but in addition to its baseline risks,fluoroscopy poses an additional radiation risk to the fetus. Endoscopic ultrasound(EUS)is an accurate modality for detecting common bile duct stones,but its role has not been defined in pregnancy.We describe an alternative management strategy to conventional ERCP in a pregnant patient with choledocholithiasis and cholangitis detected using EUS and choledochoscopy.Cholelithiasis and choledocholithiasis occur frequently in pregnancy and their management can be complicated. Traditional endoscopic retrograde cholangiopancreatography(ERCP)is the first line treatment for choledocholithiasis,but in addition to its baseline risks,fluoroscopy poses an additional radiation risk to the fetus. Endoscopic ultrasound(EUS)is an accurate modality for detecting common bile duct stones,but its role has not been defined in pregnancy.We describe an alternative management strategy to conventional ERCP in a pregnant patient with choledocholithiasis and cholangitis detected using EUS and choledochoscopy.

关 键 词：SpyScope Endoscopic ultrasound Cho- ledocholithiasis MANAGEMENT PREGNANCY 

分 类 号：R657.4[医药卫生—外科学]