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在EUS指导的前级干预后的长期结果,用于良性胆肠直肠静脉狭窄症
Kazumasa Nagai1, Shuntaro Mukai1, Masakazu Abe1
1Department of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan.
以内镜超声波引导的前级干预 (EUS-AI) 显示,在治疗困难的双肠道静脉狭窄症 (BES) 方面,可接受的长期结果. 胆道结石与这个患者群体的狭窄症成功解决有关.
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.
- 肝病学 肝病学是一种肝病学.
背景情况:
- 胆肠静脉狭窄 (BES) 是胆肠静脉修复的一个并发症.
- 以内镜超声波为导向的前级干预 (EUS-AI) 是一种用于复杂BES病例的新技术.
- 针对BES的EUS-AI的长期结果尚未得到充分确立.
研究的目的:
- 为了评估EUS-AI在BES患者的长期结果.
- 为了确定与狭窄分辨率相关的因素.
- 评估复发,需要手术和肝纤维化进展情况.
主要方法:
- 对34名用EUS-AI.AI治疗的BES患者进行了回顾性研究.
- 随访时间超过1年.
- 主要终点:狭窄的分辨率;次要终点:复发,手术转换,纤维化进展.
主要成果:
- 随访时间中位数为56.7个月;50%的人实现了收缩的解决.
- 胆道结石的明显预测分辨率 (OR 9.473).
- 复发率为33%;25%的肝纤维化进展,但在没有胆管炎的患者中没有复发.
结论:
- EUS-AI为BES提供了可接受的长期临床结果.
- 在难以治疗的病例中,EUS-AI是手术的可行替代方案.
- 管理胆管炎可以预防肝纤维化进展.
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