用内镜超声波引导的胆囊排水:超越胆囊炎
Nicholas J Koutlas1, Swati Pawa1, Greg Russell2
1Department of Medicine, Section on Gastroenterology, Wake Forest School of Medicine, Winston-Salem, NC 27157, USA.
Diagnostics (Basel, Switzerland)
|June 10, 2023
概括
透视式超声导向胆囊排水 (EUS-GBD) 对于急性胆囊炎 (AC) 和非胆囊炎 (NC) 症状都是安全有效的. 这种微创手术的结果与传统的外科手术方法相提并论.
科学领域:
- 胃肠病学 胃肠病学
- 干预性内镜检查是干预性的内镜检查.
- 胆汁干预 胆汁干预
背景情况:
- 在非手术候选人的急性胆囊炎 (AC) 确立了内镜超声波引导胆囊排水 (EUS-GBD).
- 对于非胆囊炎 (NC) 症候群的EUS-GBD的疗效和安全性仍未得到充分研究.
研究的目的:
- 为了比较EUS-GBD在AC患者和NC患者的临床结果.
- 评估EUS-GBD在各种胆囊相关疾病中的安全性和有效性.
主要方法:
- 连续在一个中心接受EUS-GBD的患者的回顾性分析.
- 指标分为AC和NC,NC包括恶性胆道阻塞,症状胆病,胆结石胰腺炎,胆病和米里齐综合征.
- 技术成功,临床成功,不良事件,手术持续时间和在不同组之间停留时间的比较.
主要成果:
- 在AC (92%) 和NC (92%) 组中,技术成功率高且相似.
- 临床成功率也相似,AC为94%,NC为100%.
- 在AC和NC组之间,不良事件,程序持续时间和停留时间没有显著差异.
结论:
- 对于非胆囊炎的症状,EUS-GBD的安全性和有效性与急性胆囊炎的情况相似.
- 除了急性胆囊炎之外,EUS-GBD是治疗各种胆囊病理的可行和有效替代方案.
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