用内镜超声波指导的胃外ERCP (EDGE):关于长期随访和关闭的多中心美国研究
Prashant Kedia1, Sardar Shah-Khan2, Amy Tyberg3
1Methodist Dallas Medical Center - Gastroenterology, Dallas, Texas, United States.
Endoscopy international open
|May 30, 2023
概括
在Roux-en-Y胃绕道术患者中,内镜超声波导向的跨胃ERCP (EDGE) 是有效的. 在EDGE后,状管的持续性并不常见,尽管支架持续时间较长可能会增加风险.
科学领域:
- 胃肠病学 胃肠病学
- 内視鏡外科手術 內視鏡外科手術
背景情况:
- 鲁克斯-en-Y胃绕道 (RYGB) 解剖学对标准ERCP提出了挑战.
- 通过内镜超声波指导的胃外ERCP (EDGE) 已经成为一种可行的替代方案.
研究的目的:
- 评估EDGE在RYGB患者的长期结果.
- 评估 EDGE 之后的状腺持续率和术后体重变化.
主要方法:
- 一个多中心注册表收集了2015-2021年期间接受EDGE治疗的172名RYGB患者的数据.
- 分析包括患者人口统计,程序细节,技术和临床成功,并发症,关闭和体重变化.
主要成果:
- LAMS安置的技术成功率为99.4%,临床成功率为95%. 在去除LAMS时,囊闭塞发生在40%的患者中.
- 在评估的患者中,的持久性为31%,由较长的LAMS停留时间预测. 大多数患者的体重增加是最小的.
结论:
- EDGE是一种安全有效的ERCP方法,用于RYGB患者.
- 管管理协议各不相同,需要标准化. 耐久性丸的内镜治疗是可行的.
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