一名十二指肠环路转换患者的经肠会合ERCP。

CRSLS : MIS case reports from SLS Pub Date : 2024-02-21 eCollection Date: 2024-01-01 DOI:10.4293/CRSLS.2023.00053

Sarah Lee, Subhash R Patil, Shilpa Lingala, Benjamin G Coombs, Rama R Ganga

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摘要

简介：由于十二指肠转位（DS）患者的手术解剖结构发生了改变，因此在他们身上进行内镜逆行胰胆管造影术（ERCP）具有挑战性。很少有经肠道会合ERCP缓解DS患者胆道梗阻的病例报道。更具体地说，在环路 DS（也称为 SADI（单吻合十二指肠-回肠造口术）或 SIPS（胃肠幽门疏通术））患者中实施这种手术的病例尚未见报道：本病例报告描述的是一名 50 岁男性，曾接受过环十二指肠造口术，但出现了胆石性胰腺炎。他接受了腹腔镜胆囊切除术，术中胆管造影呈阳性，需要进行经肠会合ERCP：讨论：经肠交会ERCP虽然从未被报道过，但它是解除襻型DS患者胆道梗阻的可行方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Trans Enteric Rendezvous ERCP in a Patient with Loop Duodenal Switch.

Introduction: Performing endoscopic retrograde cholangiopancreatography (ERCP) in duodenal switch (DS) patients is challenging given their surgically altered anatomy. There have been very few reported cases of trans enteric rendezvous ERCP to relieve biliary obstruction in DS patients. More specifically, there has not been any reported cases of this procedure being performed in loop DS, also known as SADI (single anastomosis duodeno-ileostomy) or SIPS (stomach intestinal pylorus sparing procedure).

Case description: This case reports describes a 50-year-old male with prior loop DS who presented with gallstone pancreatitis. He underwent a laparoscopic cholecystectomy with positive intraoperative cholangiogram requiring the need for trans enteric rendezvous ERCP.

Discussion: Although never reported, trans enteric rendezvous ERCP is a feasible approach in relieving biliary obstruction in patients with loop DS anatomy.

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CRSLS : MIS case reports from SLS

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