经内镜引流治疗急慢性胰腺炎

内镜引流治疗急慢性胰腺炎23例，其中乳头括约肌切开（EST）、鼻胆管引流（ENBD）治疗急性胰腺炎（AP）13例，包括5例重症急性胰腺炎（SAP），成功引流11例均获治愈，平均治愈天数为10．4天（5－18天）；11例慢性胰腺炎（CP）中7例行胰管括约肌切开胰管结石一次取净，4例胰腺囊肿消失。结果显示，内镜引流是急慢性胰腺炎的一种安全有效治疗方法。

ENDOSCOPIC DRAINAGE IN ACUTE OR CHRONIC PANCREATITIS

Endoscopic drainage was practised in 23 patients with acute or chronic pancreatitis. Among them 13 cases with acute pancreatits (AP) including 5 serious ones were treated with endoscopic sphincterotomy (EST) and naso biliary drainage (ENBD).Following successful drainage ( n =11) all the patients were cured with an average of 10 4 days (5-18 days). Among 11 patients with chronic pancreatitis, there were 7 cases treated by endoscopic pancreatic sphinterotomy (EPS), 2 cases by extraction of pancreatic duct stones with balloon, 5 cases by dilatation of pancreatic duct with bougienage, 6 cases by endoscopic naso pancreatic drainage(ENPD), and 7 cases by pancreatic duct drainage(PDE). After the operation, abdominal pain was eliminated in 5/7 cases. Pancreatic duct stones were extracted out in 2 patients and pancreatic cyst disappeared in 4 patients. It is concluded that endoscopic drainage is safe and useful in management of acute or chronic pancreatitis.