Therapeutic ERCP strategies in patients with duodenum stricture

VernacularTitle:合并十二指肠狭窄患者实施经内镜逆行胰胆管造影术的策略
Author: Yamin PAN ; Jun WU ; Tiantian WANG ; Daojian GAO ; Bing HU
Publication Type:Journal Article
Keywords: Cholangiopancreatography,endoscopic retrograde; Duodenum stricture; Methods
From: Chinese Journal of Digestive Endoscopy 2012;29(10):563-567
CountryChina
Language:Chinese
Abstract: Objective To investigate the methods and strategies of therapeutic ERCP in patients with duodenum stricture.Methods Endoscopic procedure,success rate and complications in patients with duodenum stricture who underwent ERCP were retrospectively analyzed.Results In 7276 patients who underwent therapeutic ERCP,duodenum stricture was found in 158 (2.17％),patients with malignant tumor infiltration in 120 and benign stricture in 38.The total success rate of ERCP and biliary drainage was 84.2％,with posture change or guidewire leading method in 96 patients,stylolitic water sac dilation in 33and duodenum metal stent placement before biliary drainage in 4.The procedure was failed in 25 patients.Minor bleeding occurred in 5 patients and no major complication including massive bleeding or perforation was observed.Conclusion ERCP is safe,effective and feasible for patients with duodenum stricture,which can be performed by posture change or guidewire leading method in mild stricture,and stylolitic water sac dilation or duodenum metal stent placement in severe stricture.