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肝损伤技术提高了在EUS导向肝胃口术期间导线插入的技术成功率 (附视频)

Junichi Nakamura¹, Takeshi Ogura^2,3, Saori Ueno¹

¹2nd Department of Internal Medicine, Osaka Medical and Pharmaceutical University, Osaka, Japan.

Therapeutic advances in gastroenterology

|September 5, 2023

概括

肝脏冲击技术显著改善了内镜超声波导向肝胃口术 (EUS-HGS) 导线插入的成功. 这种方法使技术成功率从65.1%提高到95.8%,不良事件率较低.

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.
手术技巧手术技巧

背景情况:

在内镜超声波导向肝胃肠切除术 (EUS-HGS) 中,针穿过时导线曲可能会导致并发症.
肝损伤技术此前已被描述为防止导线损伤,但在大型队列中缺乏可行性数据.

研究的目的:

在EUS-HGS期间评估肝损伤技术的临床有用性和技术可行性.
评估肝脏冲击技术对导线插入成功率的影响.

主要方法:

一项回顾性单一中心研究包括了166名连续接受EUS-HGS治疗的患者,时间为2018年4月至2022年9月.
主要结局是使用肝损伤技术插入导线的技术成功率.

主要成果:

最初的导线插入成功率为65.1%. 肝损伤技术将成功率提高到95.8%.
在使用该技术的58名患者中,只有3.4%的患者经历了不良事件 (胆炎),没有观察到导线剪切.
总体不良事件为7.2% (胆炎,胆炎),所有都是I级.

结论:

肝损伤技术是改善EUS-HGS导线插入成功的一个有价值的方法.
该技术显示出高可行性和有利的安全性,并发症最小.

关键词:

在ERCP中,ERCP是指ERCP.在EUS-HGS中使用.通过EUS指导的肝胃口术.胆道排水胆道排水通过内镜超声波引导的胆道排水.

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