用内镜超声波引导的胃外通道关节取消用于复发性肝脏脑病变的消灭
Sahaj Rathi1, Amrita Kalantri2, Arpit Shastri1
1Department of Hepatology, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
The American journal of gastroenterology
|August 17, 2023
概括
内镜超声波 (EUS) 提供了一种新的方法,可以在肝硬化患者中关闭自发性移植系统分流 (SPSSs). 这种技术在停止血液流动和改善症状方面取得了很大的成功,没有严重的副作用.
科学领域:
- 胃肠病学 胃肠病学
- 干预性放射学 干预性放射学
- 肝病学 肝病学是一种肝病学.
背景情况:
- 在肝硬化患者中,自发性移植系统性分流 (SPSSs) 是常见的.
- 复发性或耐药性肝脑病变通常需要SPSS封闭.
- 当前的遮方法可能有局限性.
研究的目的:
- 描述一种新的内镜超声波 (EUS) 指导的SPSS消灭的跨胃方法.
- 评估这种新技术的安全性和有效性.
主要方法:
- 使用粘合剂和线圈进行了EUS引导的跨胃分流消灭.
- 该程序涉及直接注射到SPSS.
主要成果:
- 该技术在7名患者中使用了9次会议.
- 在7个案例中,6个案例中实现了多普勒流的完全停止.
- 在7名患者中,有6名患者观察到足够的临床反应,没有严重的不良事件.
结论:
- 以EUS为指导的跨胃分流消灭是一种新的,潜在的有效和高效的方法.
- 这种技术为患有肝硬化和肝脑病变的患者管理SPSS提供了一个有前途的选择.
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