今日60秒医学Tips如下
Question
What are the contraindications to ERCP in patients with acute biliary pancreatitis?
急性胆源性胰腺炎患者行ERCP有哪些禁忌症？
Answer
An unstable medical condition that precludes safe moderate sedation is an absolute contraindication to ERCP; relative contraindications have typically included altered postsurgical anatomical features that prevent endoscopic access to the major papilla and clinically significant coagulopathy.
绝对禁忌症：不能进行麻醉的生命体征不稳定状况。
相对禁忌症：手术后解剖结构改变，内镜不能进入十二指肠大乳头；临床显著凝血障碍。
Reference
N Engl J Med 2014; 370:150-157
Bonus Points
点击「阅读原文」，可以看来自新英格兰医学杂志关于ERCP与胆源性胰腺炎的综述。
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