患有早期和晚期胆囊炎的危险因素,在为偏远胆道阻塞放置覆盖金属支架后
Tatsuya Ishii1, Tsuyoshi Hayashi1, Hajime Yamazaki1,2
1Center for Gastroenterology, Teine Keijinkai Hospital, Sapporo, Japan.
Journal of hepato-biliary-pancreatic sciences
|September 12, 2023
概括
小的普通胆道直径,胆囊结石和囊性管瘤的参与是早期胆囊炎的关键风险因素,在为胆道阻塞放置覆盖的自扩展金属支架后.
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:
- 胆囊炎是自扩展金属支架放置后的严重并发症,用于远端胆道阻塞.
- 覆盖式自扩展金属支架 (CSEMS) 的使用越来越多,需要对CSEMS特定的胆囊炎风险因素进行调查.
研究的目的:
- 为了确定发生在远端胆道阻塞的CSEMS安置后发生胆囊炎的独立风险因素.
主要方法:
- 在2014年11月至2021年9月期间,对339名患者进行了远端胆道阻塞的CSEMS的回顾性研究.
- 患者被跟踪到2022年3月,胆囊炎被分为早期 (30天内) 或晚期 (30天后).
- 使用多变量逻辑回归分析来确定显著的风险因素.
主要成果:
- 胆囊炎发生在15% (51/339) 的患者中,其中80.4%被归类为早期胆囊炎.
- 早期胆囊炎的重要独立风险因素包括较小的普通胆道直径 (OR:0.87),胆囊结石的存在 (OR:3.63),以及囊管的瘤参与 (OR:4.87).
- 没有发现晚期胆囊炎的重大风险因素.
结论:
- 较小的普通胆道直径,胆囊结石和囊性通道瘤的参与是CSEMS安置后早期胆囊炎的显著预测因素.
- 这些发现可以帮助风险分层,并可能为接受CSEMS的患者提供胆囊炎的预防策略.
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