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Research advances in the impairment of Oddi sphincter function caused by endoscopic sphincterotomy
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摘要:
Oddi括约肌结构精巧,其功能的完整性对于防止十二指肠内容物反流及细菌等逆行感染,维护肝胆胰内外部生理环境的平衡具有不可替代的作用。内镜下乳头括约肌切开术破坏了Oddi括约肌的完整性,其造成的负效应受到了越来越多的关注。概述了内镜下乳头括约肌切开术致Oddi括约肌功能损伤的研究进展,认为临床医师需正确认识和重视内镜下乳头括约肌切开术致Oddi括约肌功能的损伤,从多角度综合分析,根据患者的具体情况制订合理化诊疗方案。
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关键词:
- 胆总管结石 /
- 奥狄括约肌 /
- 括约肌切开术,内窥镜
Abstract:The Oddi sphincter has a delicate structure,and the integrity of its function has an irreplaceable role in preventing retrograde infection due to the reflux of duodenal contents and bacteria and maintaining the balance of physiological environment inside and outside the liver,the pancreas,and the gallbladder. Endoscopic sphincterotomy impairs the integrity of the Oddi sphincter,and such negative effects have received more and more attention. This article reviews the research advances in the impairment of Oddi sphincter function caused by endoscopic sphincterotomy and points out that clinicians should understand and attach importance to such impairment,perform a comprehensive analysis from various aspects,and develop reasonable diagnosis and treatment regimens based on patient's own conditions.
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Key words:
- choledocholithiasis /
- sphincter of Oddi /
- sphincterotomy,endoscopic
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[1] McCUNE WS,SHORB PE,MOSCOVITZ H. Endoscopic cannulation of the ampulla of vater:A preliminary report[J]. Ann Surg,1968,167(5):752-756. [2] KAWAI K,AKASAKA Y,MURAKAMI K,et al. Endoscopic sphincterotomy of the ampulla of Vater[J]. Gastrointest Endosc,1974,20(4):148-151. [3] KYANAM KABIR BAIG KR,WILCOX CM. Translational and clinical perspectives on sphincter of Oddi dysfunction[J].Clin Exp Gastroenterol,2016,9:191-195. [4] LU XL,LIANG TB. Protection of Oddi sphincter function and its significance in endoscopic sphincterotomy[J]. Chin J Pract Surg,2017,37(8):871-873.(in Chinese)陆新良，梁廷波．EST治疗中Oddi括约肌功能的保护及其意义[J]．中国实用外科杂志，2017,37(8):871-873. [5] TOOULI J. Sphincter of Oddi:Function,dysfunction,and its management[J]. J Gastroenterol Hepatol,2009,24(Suppl3):s57-s62. [6] MAKSIMOV VA,BUNTIN ES,BUNTINA BG,et al. The influence of placental drug laennec on motor function of the biliary tract in patients with fatty degeneration of liver[J]. Eksp Klin Gastroenterol,2016,11:100-103. [7] YOO BM,KIM JH,YANG MJ,et al. Cyclic change of sphincter of Oddi motility and its relationship with small bowel migrating motor complex in humans[J]. Dig Dis Sci,2018,63(12):3425-3433. [8] ZENG JP,DONG JH. The sphincter of Oddi:From incision to repair[J]. J Clin Hepatol,2017,33(2):209-212.(in Chinese)曾建平，董家鸿．Oddi括约肌:从切开到修复[J]．临床肝胆病杂志，2017,33(2):209-212. [9] FAN MM,ZHANG XW. Research advances in the movement of the Oddi sphincter[J]. J Hepatopancreatobiliary Surg,2010,22(3):243-245.(in Chinese)范明明，张晞文．Oddi括约肌运动的研究进展[J]．肝胆胰外科杂志，2010,22(3):243-245. [10] LI HC,DONG JH,CHEN F,et al. Basic rhythm of myoelectric activities of sphcter of Oddi and its biological significance[J].Chin J Hepatobiliary Surg,2010,16(5):372-376.(in Chinese)李虎城，董家鸿，陈飞，等．Oddi括约肌肌电活动的基本方式[J]．中华肝胆外科杂志，2010,16(5):372-376. [11] SGOUROS SN,PEREIRA SP. Systematic review:Sphincter of Oddi dysfunction-non-invasive diagnostic methods and long-term outcome after endoscopic sphincterotomy[J]. Aliment Pharmacol Ther,2006,24(2):237-246. [12] HALL TC,DENNISON AR,GARCEA G. The diagnosis and management of Sphincter of Oddi dysfunction:A systematic review[J]. Langenbecks Arch Surg,2012,397(6):889-898. [13] CLASSEN M,DEMLING L. Endoscopic sphincterotomy of the papilla of vater and extraction of stones from the choledochal duct(author’s transl)[J]. Dtsch Med Wochenschr,1974,99(11):496-497. [14] RYOZAWA S,ITOI T,KATANUMA A,et al. Japan Gastroenterological Endoscopy Society guidelines for endoscopic sphincterotomy[J]. Dig Endosc,2018,30(2):149-173. [15] ASGE Standards of Practice Committee,CHATHADI KV,CHANDRASEKHARA V,et al. The role of ERCP in benign diseases of the biliary tract[J]. Gastrointest Endosc,2015,81(4):795-803. [16] ASGE Standards of Practice Committee,EARLY DS,BENMENACHEM T,et al. Appropriate use of GI endoscopy[J].Gastrointest Endosc,2012,75(6):1127-1131. [17] GAO ZQ,LIU ZC. Diagnosis and treatment of injury in the choledocho-pancreatico-duodenal junction[J]. J Surg Concepts Pract,2015,8(3):188-190.(in Chinese)高志清，刘正才．胆胰肠结合部损伤的诊断和治疗[J]．外科理论与实践，2015,8(3):188-190. [18] SONG YD. Clinical study on the effect of EST on function of sphincter[D]. Kunming:Kunming Medical University,2015.(in Chinese)宋耀东．EST对Oddi括约肌功能影响的临床研究[D]．昆明:昆明医科大学，2015. [19] WOJTUN S,GIL J,GIETKA W,et al. Endoscopic sphincterotomy for choledocholithiasis:A prospective single-center study on the short-term and long-term treatment results in483 patients[J]. Endoscopy,1997,29(4):258-265. [20] RABENSTEIN T,SCHNEIDER HT,HAHN EG,et al. 25 years of endoscopic sphincterotomy in Erlangen:assessment of the experience in 3498 patients[J]. Endoscopy,1998,30(9):a194-a201. [21] CHEN Z. Clinical study on complications after endoscopic sphincterotomy[D]. Tianjin:Tianjin Medical University,2008.(in Chinese)陈震．内镜十二指肠乳头括约肌切开术并发症的临床研究[D]．天津:天津医科大学，2008. [22] ZHONG HG,FAN ZN. Prevention and treatment of the complications of endoscopic sphincterotomy[J]. J Hepatobiliary Surg,2012,20(3):163-165.(in Chinese)仲恒高，范志宁．EST并发症的防治[J]．肝胆外科杂志，2012,20(3):163-165. [23] JIANG SF,ZHOU Y,GE W,et al. Application of“One Disease and One Product”nursing in patients with common bile duct stones treated with ERCP[J]. J Changchun Univ Chin Med,2019,35(5):975-977.(in Chinese)姜素峰，周莹，葛薇，等．“一病一品”护理在ERCP胆道取石术治疗胆总管结石患者中的应用[J]．长春中医药大学学报，2019,35(5):975-977. [24] FAZEL A,QUADRI A,CATALANO MF,et al. Does a pancreatic duct stent prevent post-ERCP pancreatitis? A prospective randomized study[J]. Gastrointest Endosc,2003,57(3):291-294. [25] NATSUI M,HONMA T,GENDA T,et al. Effects of endoscopic papillary balloon dilation and endoscopic sphincterotomy on bacterial contamination of the biliary tract[J]. Eur J Gastroenterol Hepatol,2011,23(9):818-824. [26] OLIVEIRA-CUNHA M,DENNISON AR,GARCEA G. Late complications after endoscopic sphincterotomy[J]. Surg Laparosc Endosc Percutan Tech,2016,26(1):1-5. [27] NATSUI M,SAITO Y,ABE S,et al. Long-term outcomes of endoscopic papillary balloon dilation and endoscopic sphincterotomy for bile duct stones[J]. Dig Endosc,2013,25(3):313-321. [28] HUANG YH,WANG K,ZHANG HJ,et al. A preliminary study of sphincter-preserving effect of Sure Clip from MicroTech on duodenal papilla occlusion[J]. Chin J Dig Endosc,2018,35(11):823-827.(in Chinese)黄永辉，王琨，张贺军，等．应用和谐夹行十二指肠乳头成型术对Oddi括约肌功能恢复效果的初探[J]．中华消化内镜杂志，2018,35(11):823-827. [29] LAI KH,CHAN HH,TSAI TJ,et al. Reappraisal of endoscopic papillary balloon dilation for the management of common bile duct stones[J]. World J Gastrointest Endosc,2015,7(2):77-86. [30] CHEON YK,LEE TY,KIM SN,et al. Impact of endoscopic papillary large-balloon dilation on sphincter of Oddi function:A prospective randomized study[J]. Gastrointest Endosc,2017,85(4):782-790. [31] HUANG YD,HE Q,XIAO SQ,et al. Clinical effect of endoscopic sphincterotomy combined with endoscopic papillary balloon dilation in treatment of common bile duct stones[J].Clin J Med Offic,2013,41(10):1072-1074.(in Chinese)黄永德，何谦，肖淑琼，等．十二指肠乳头括约肌小切开联合气囊扩张术治疗胆总管结石临床分析[J]．临床军医杂志，2013,41(10):1072-1074. [32] ERSOZ G,TEKESIN O,OZUTEMIZ AO,et al. Biliary sphincterotomy plus dilation with a large balloon for bile duct stones that are difficult to extract[J]. Gastrointest Endosc,2003,57(2):156-159. [33] XIAO J,PAN J,MIAO GF. Effects of smal endoscopic sphincterotomy combine with endoscopic papillary balloon dilatation on the levels pancreatic amylase and lipase in bile[J]. J Hepatopancreatobiliary Surg,2019,31(5):306-309.(in Chinese)肖竣，潘杰，缪国凤．Oddi括约肌小切开结合气囊扩张对胆汁胰淀粉酶、脂肪酶含量的影响[J]．肝胆胰外科杂志，2019,31(5):306-309. [34] XU B,CHEN ZY,HUANG XX,et al. Efficacy and safety of endoscopic sphincterotomy and small incision combined with balloon dilatation for the treatment of less than 2 cm common bile duct stones[J]. Chin J Integr Trad West Med Dig,2019,27(3):172-174.(in Chinese)许保，陈正义，黄晓曦，等．经内镜乳头括约肌切开术与小切开联合球囊扩张术治疗直径≤2 cm胆总管结石的有效性及安全性分析[J]．中国中西医结合消化杂志，2019,27(3):172-174. [35] GAO FY,YUAN L,JI RX. Analysis of short-term complications in treatment of choledocholithiasis in the small endoscopic sphincterotomy plus endoscopic papillary balloon dilatation[J]. Heilongjiang Med J,2014,27(2):313-316.(in Chinese)高峰玉，袁莉，纪瑞霞，等．内镜下十二指肠乳头括约肌小切开术联合球囊扩张术治疗胆管结石的近期疗效观察[J]．黑龙江医药，2014,27(2):313-316. [36] FENG J,CUI NQ,CAI W,et al. Papillary balloon dilatation combined with endoscopic sphincterotomy for treatment of common bile duct stones:Efficacy and factors affecting stone recurrence[J]. World Chin J Dig,2018,26(4):263-269.(in Chinese)冯健，崔乃强，蔡旺，等．乳头气囊扩张联合乳头括约肌切开治疗胆总管结石的疗效及其对结石复发的影响[J]．世界华人消化杂志，2018,26(4):263-269. [37] YAN FB. Clinical research about small endoscopic sphincterotomy combined with balloon expansion for the treatment of common bile duct calculi[D]. Taiyuan:Shanxi Medical University,2005.(in Chinese)闫方博．内镜下括约肌小切开联合球囊扩张治疗胆总管结石的临床研究[D]．太原:山西医科大学，2015. [38] ZHAO CG,WANG Y,WANG XY,et al. Clinical efficacy of small endoscopic sphincterotomy combined with endoscopic balloon dilatation in treatment of common bile duct stones[J].New Chin Med,2017,48(12):895-899.(in Chinese)赵成光，王艳，王晓燕，等．内镜下乳头括约肌小切开联合球囊扩张术治疗胆总管结石的疗效分析[J]．新医学，2017,48(12):895-899. [39] ZHANG SJ,XIONG WL,FU X,et al. Effect of small incision of duodenal papilla combined with balloon dilatation in the treatment of choledocholithiasis[J]. Shanghai Med Pharm J,2019,40(6):20-21,54.(in Chinese)张善金，熊文丽，傅鑫，等．十二指肠乳头小切开联合球囊扩张术治疗胆总管结石效果[J]．上海医药，2019,40(6):20-21,54. [40] DING H,RAIJMAN I,KALLOO AN. Endoclip papilloplasty for a patulous and incompetent biliary papilla:A therapeutic misadventure[J]. VideoGIE,2019,4(10):493. [41] TANAKA M. Function and dysfunction of the sphincter of Oddi[J]. Dig Surg,2010,27(2):94-99. [42] SUNG JY,COSTERTON JW,SHAFFER EA. Defense system in the biliary tract against bacterial infection[J]. Dig Dis Sci,1992,37(5):689-696. -
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