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十二指肠乳头气囊扩张术(EPBD)是内镜下逆行性胰胆管造影的一种治疗手段,EPBD术后胰腺炎是常见且严重的并发症之一。目前研究发现,EPBD操作相关因素、病例选择相关因素、多次乳头插管及导丝多次插入胰管、多次胰管显影与操作者的经验不足是EPBD术后并发胰腺炎的常见危险因素。关于预防术后胰腺炎的药物研究已广泛开展,临床研究取得一定的进展。在内镜技术方面,改进操作技术,放置胰管支架和胆管引流技术,能有效地预防EPBD术后胰腺炎的发生。
Duodenal papillary balloon dilatation (EPBD) is a treatment of endoscopic retrograde cholangiopancreatography, pancreatitis after EPBD is one of the common and serious complications. The current study found that, EPBD operation related factors, factors related to case selection, multiple nipple and guide wire inserted multiple times into the pancreatic duct, multiple pancreatic ductal imaging and operator’s lack of experience is common post-EPBD pancreatitis complicated risk factors . Research on the prevention of post-operative pancreatitis has been widely carried out, and clinical research has made some progress. In the endoscopic technology, the improvement of operation techniques, placement of pancreatic duct stents and biliary drainage can effectively prevent the occurrence of post-EPBD pancreatitis.