经口胆道镜联合经皮胆道穿刺引流会师术治疗Beger术后胆瘘1例报告

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摘要：保留十二指肠胰头局部切除术（Beger术）术后胆管损伤发生率较高，而胆管损伤的治疗方式取决于损伤严重程度，内镜治疗在胆管损伤严重的情况下较困难。近期西湖大学附属杭州市第一人民医院收治1例因Beger术后出现胆瘘的患者，通过经口胆道镜联合经皮胆道穿刺引流会师术成功诊治，取得良好效果。

关键词：胆瘘；穿刺抽液术；胰胆管造影术，内窥镜逆行

基金项目：杭州市重点医学学科建设基金（OO20190001）

Successful treatment of biliary fistula after Beger surgery by oral choledochoscopy-assisted percutaneous-endoscopic rendezvous technique：A case report

WANG Yuxin1，2，GU Weigang2，JIN Zheng2，ZHANG Xiaofeng1，2，3，4

1.The Fourth Clinical Medical College of Zhejiang Chinese Medical University，Hangzhou 310003，China；2.Department of Gastroenterology，Affiliated Hangzhou First People’s Hospital，Westlake University School of Medicine，Hangzhou 310058，China；3.Key Laboratory of Integrated Traditional Chinese and Western Medicine for Biliary and Pancreatic Diseases of Zhejiang Province，Hangzhou 310006，China；4.Key Laboratory of Clinical Cancer Pharmacology and Toxicology Research of Zhejiang Province，Hangzhou 310058，China

Corresponding author：ZHANG Xiaofeng，19883201892@163.com（ORCID：0009-0007-1858-8905）

Abstract：Duodenum-preserving pancreatic head resection，also known as Beger surgery，has a high incidence rate of bile duct injury after surgery，while the treatment modality for bile duct injury depends on the severity of the injury，and endoscopic therapy is often challenging in case of severe bile duct injury.Recently a patient with biliary fistula after Beger surgery was admitted to Affiliated Hangzhou First People’s Hospital，Westlake University，and successful diagnosis and treatment were achieved through oralcholedochoscopy-assisted percutaneous-endoscopic rendezvous technique.

Key words：Biliary Fistula；Paracentesis；Cholangiopancreatography，Endoscopic Retrograde

Research funding：The Construction Fund of Key Medical Disciplines of Hangzhou（OO20190001）

1病例资料

患者男性，42岁，因“Beger术后1个月，皮肤、巩膜黄染10天”于2023年11月29日就诊于西湖大学附属杭州市第一人民医院。（剩余5836字）