内镜在恶性膜阻塞中的作用
Jahnvi Dhar1, Pankaj Gupta2, Jayanta Samanta3
1Department of Gastroenterology, Sohana Hospital, Mohali, Punjab (Jahnvi Dhar).
Annals of gastroenterology
|July 3, 2023
概括
恶性状胆道阻塞 (MHO) 存在诊断和管理方面的挑战. 内镜为诊断和胆道排水提供了宝贵的工具,特别是当手术不是一种选择时.
科学领域:
- 胃肠病学 胃肠病学
- 肝病学 肝病学是一种肝病学.
- 干预性内镜检查是干预性的内镜检查.
背景情况:
- 恶性状胆道阻塞 (MHO) 造成了严重的诊断和管理困难.
- 手术切除是唯一的治愈选择,但由于无法切除的瘤或表现不佳,大多数患者不符合条件.
- 胆道排水 (BD) 对于息至关重要,可使用内镜和皮肤通道.
研究的目的:
- 审查内镜在治疗恶性状胆道阻塞中的当前作用和应用.
- 突出内镜技术用于诊断和胆道排水在MHO.
主要方法:
- 综合文献综述,重点关注MHO的内镜干预措施.
- 诊断能力的分析,包括组织学,细胞学,直接可视化和内镜超声波 (EUS) 用于分期.
- 对胆汁排水和息治疗的治疗内镜程序的评估.
主要成果:
- 内镜在诊断MHO方面有很大的帮助,通过组织采样和像EUS这样的先进成像技术来诊断MHO.
- 内镜逆行胆血管细胞造影 (ERCP) 和EUS导导胆管排水是有效的息措施.
- 支架,配件和EUS的进步扩大了MHO管理中的内镜应用.
结论:
- 内镜管理是MHO多学科方法的重要组成部分.
- 个性化,以团队为基础的策略对于MHO中最佳的患者结果至关重要.
- 需要进一步研究最佳的支架选择,息方法和MHO的局部废除技术.
相关概念视频
Endoscopic Studies I: Bronchoscopy and Thoracoscopy
236
Endoscopy is a non-surgical medical technique used to examine a person's internal organs and vessels. This lesson will focus on two types of endoscopic studies: bronchoscopy and thoracoscopy.
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
236
Endoscopic Procedures I: Esophagogastroduodenoscopy
205
An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
During an EGD, the endoscope can be used to:
205
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
119
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
119
Endoscopic Procedures V: ERCP
424
Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
Patient...
424
Esophageal Strictures-II: Clinical Features and Management
108
Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
108
Endoscopic Procedures II: Colonoscopy
135
The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:
135


