不容忽视的 ERCP 围手术期全程管理

摘要： 逆行胰胆管造影术 （ERCP） 是消化内镜中技术难度最高、 并发症风险最大、 也是患者最易获益的一种微创治疗手段。进一步普及规范操作， 进行规范培训， 加强质量控制， 提倡围手术期全程管理理念， 是培养出更规范的ERCP 医生的重要步骤。本文对 ERCP 的围手术期全程管理， 包括 ERCP 的术前准备、 术中抉择、 术后处理和并发症的防治等进行阐述， 其核心就是在 ERCP 微创治疗中最大程度的使患者获益， 服务于更多的患者。

Whole-process management of perioperative period is crucial for ERCP

Abstract: Endoscopic retrograde cholangiopancreatography (ERCP) is the most challenging technique of gastrointestinalendoscopy. Patients are most likely to benefit from this mini invasive treatment, meanwhile they bear high risk of complications,which might be life-threatening. Standard operation, standardized training, quality control and whole-process management ofperioperative period are critical factors for ERCP training, and should be popularized in medical centers, where ERCP areperformed. This paper has illustrated the whole-process management of perioperative period for ERCP, including preoperativepreparation, decision-making during operation, postoperative management, as well as prevention and treatment of complications.By performing whole-process management of ERCP, patient can benefit more from ERCP operation, and which will serve morepatients