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ERCP专栏

分化好的G1、G2级神经内分泌肿瘤的进展通常比较缓慢，生存期为3年到20年不
等。分化差的G3级神经内分泌癌生存期大概在10个月左右。
4.参考文献 黄疸患者的两次ERCP诊治
[1] Fishbein L, Del Rivero J, Else T, Howe JR, Asa SL, Cohen DL, Dahia
资料提供：西安交大二附院消化内科 乔璐 赵刚
PLM, Fraker DL, Goodman KA, Hope TA, Kunz PL, Perez K, Perrier ND,
Pryma DA, Ryder M, Sasson AR, Soulen MC, Jimenez C. The North American
Neuroendocrine Tumor Society Consensus Guidelines for Surveillance and
1.图片/视频展示
Management of Metastatic and/or Unresectable Pheochromocytoma and
Paraganglioma. Pancreas. 2021 Apr 1;50(4):469-493.
[2] 中华医学会消化病学分会胃肠激素与神经内分泌肿瘤学组. 胃肠胰神经内
分泌肿瘤诊治专家共识（2020•广州）.中华消化杂志，2021,41(02):76-87.
[3] 中国临床肿瘤学会. 神经内分泌肿瘤诊治指南2021.
[4] 中华医学会病理学分会消化疾病学组，2020年中国胃肠胰神经内分泌肿
西部内镜快讯
瘤病理诊断共识专家组. 中华病理学杂志，2021,50(01):14-20.
[5] Klimstra DS. Nonductal neoplasms of the pancreas. Mod Pathol
2007; 20 Suppl 1:S94.
[6] Nomura N, Fujii T, Kanazumi N, et al. Nonfunctioning
neuroendocrine pancreatic tumors: our experience and management. J
Hepatobiliary Pancreat Surg 2009; 16:639.
[7] Dromain C, de Baere T, Baudin E, et al. MR imaging of hepatic
metastases caused by neuroendocrine tumors: comparing four techniques.
AJR Am J Roentgenol 2003; 180:121.
[8] Khashab MA, Yong E, Lennon AM, et al. EUS is still superior to
multidetector computerized tomography for detection of pancreatic
外院ERCP：造影可见胆总管下段不显影，中上段明显扩张，胆囊管亦显著
neuroendocrine tumors. Gastrointest Endosc 2011; 73:691.
扩张。操作过程中以直径1.2cm胆道柱状球囊对胆总管下段及乳头开口进行扩
[9] James PD, Tsolakis AV, Zhang M, et al. Incremental benefit of
张，结果提示：胆总管下段狭窄，球囊无法扩开（3个标准大气压，持续扩张约
preoperative EUS for the detection of pancreatic neuroendocrine tumors:
30秒），乳头开口处留置金属夹，置入7Fr鼻胆引流管后结束操作。
a meta-analysis. Gastrointest Endosc 2015; 81:848.

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