ERCP术后胰腺炎的危险因素及预防方法  

Risk factors and prevention methods for post⁃ERCP pancreatitis

作　　者：聂海行 王帆[1] 王红玲[1] 赵秋[1] NIE Haihang;WANG Fan;WANG Hongling;ZHAO Qiu(Department of Gastroenterology,Zhongnan Hospital of Wuhan University,Clinical Center and Key Lab of Intestinal and Colorectal Diseases of Hubei Province,Hubei Wuhan 430071,China)

机构地区：[1]武汉大学中南医院消化内科湖北省肠病医学临床研究中心和重点实验室,湖北武汉430071

出　　处：《外科理论与实践》2023年第4期310-315,共6页Journal of Surgery Concepts & Practice

摘　　要：内镜逆行胰胆管造影术(endoscopic retrograde cholangio⁃pancreatography,ERCP)是胆胰疾病诊断的主要操作技术之一。ERCP术后胰腺炎(post⁃ERCP pancreatitis,PEP)是ERCP术后最常见的并发症,延长病人的住院时间,重症胰腺炎甚至危及生命。了解PEP的危险因素对于预防PEP的发生至关重要。目前常见的PEP危险因素包括病人自身的和ERCP操作相关的。根据这些危险因素,予以相关的术前、术中、术后干预可有效降低PEP的发生率。本文总结阐述目前常见的PEP危险因素及预防方法,供广大临床工作者参考。Endoscopic retrograde cholangio⁃pancreatography(ERCP)is one of the primary procedural techniques used for diagnosing biliary and pancreatic diseases.Post⁃ERCP pancreatitis(PEP)is the most common complication of ERCP,which resulted in prolonged hospitalization and potential risk of patients′lives,especially in severe cases.Under⁃standing the risk factors associated with PEP is of paramount importance for its prevention.Currently,recognized risk fac⁃tors for PEP encompass both patient⁃related factors and ERCP procedure⁃related factors.By considering these risk factors,implementing appropriate preoperative,intraoperative,and postoperative interventions could effectively reduce the inci⁃dence of PEP.In this article,we concisely summarized the common risk factors and preventive methods for PEP,offering valuable insights for healthcare professionals in clinical practice.

关 键 词：内镜逆行胰胆管造影术 ERCP术后急性胰腺炎 危险因素 预防 

分 类 号：R576[医药卫生—消化系统]