Endoscopic diagnosis and treatment of XXXX .

@entity1 @entity9834 @entity1690 @entity10189 @entity1087 @entity5 @entity384 @entity1157 @entity253 @entity255 @entity2877
OBJECTIVE: To assess the value of endoscopy in the etiological diagnosis and treatment of @entity9834 ( @entity9834 ). METHODS: 386 @entity1 with @entity9834 were given endoscopic retrograde cholangiopancreatography (ERCP). Having been made the etiology clear, @entity1 with @entity2877 were subjected to endoscopic sphincterotomy (EST) or endoscopic @entity384 (EPBD) to extract stones, those with papillary inflammatory stricture to EST or EPBD, those with papillary diverticulum and @entity1690 ( @entity1690 ) to EPBD, those with @entity5 and @entity5 to endoscopic metal biliary endoprosthese (EMBE), and those with @entity253 in the mid bile duct, @entity255 , @entity2877 (stones not extracted one time) and @entity1157 to endoscopic nose-biliary drainage (ENBD). RESULTS: ERCP was performed successfully in 371 @entity1 (96.1%). No abnormalities were found endoscopically in 30 @entity1 . In 243 @entity1 with @entity2877 , 235 had stones removed after one to three times. Thirty-nine @entity1 with papillary inflammatory stricture were successfully treated with EST or EPBD. Nine @entity1 with papillary diverticulum which oppressed the papillary opening and 7 @entity1 with @entity1690 were also successfully treated with EPBD. In 16 @entity1 with stricture in the mid bile duct, 11 showed improvement after ENBD. Six @entity1 with @entity5 and 5 @entity1 with hepatobiliary stricture after EMBE showed significant @entity1087 . Six @entity1 with @entity1157 caused by cholecystectomy received ENBD successfully, avoiding re-operation. Six @entity1 developed @entity10189 and 4 residual stones in the cholecystic duct. Complications occurred in 21 @entity1 (5.7%). CONCLUSIONS: ERCP may detect the etiology of @entity9834 at early stage, and therapeutic measures can be taken accordingly in clinical practice.
