共同胆管到十二指胆管的宫外开放:一个单一的三级中心经验
Derya Ari1, Bülent Ödemiş, Batuhan Başpinar
1Department of Gastroenterology, University of Health Sciences, Ankara City Hospital, Ankara, Turkey.
Surgical laparoscopy, endoscopy & percutaneous techniques
|September 19, 2023
概括
宫外常见胆管开口进入十二指肠球是罕见的. 透镜逆行胆瘤细胞造影 (ERCP) 是有效的,但可能需要经验丰富的手和手术的复发病例.
科学领域:
- 胃肠病学 胃肠病学
- 胆道异常 胆道异常
- 内镜手术是一种内镜手术.
背景情况:
- 共同胆道 (CBD) 进入十二指球的宫外开口是一种罕见的先天性异常.
- 这种情况在诊断和管理方面带来了独特的挑战.
研究的目的:
- 审查患有宫外CBD开口的患者的临床和内镜结局.
- 评估内镜逆行胆大脑造影 (ERCP) 在管理这种异常的有效性和挑战.
主要方法:
- 在2010年至2020年期间,对57名接受ERCP治疗的患者进行了对子宫外CBD开放的回顾性分析.
- 详细审查ERCP发现,干预措施和患者结果.
主要成果:
- 患有CBD石头 (55) 或胆道泄漏 (2) 的患者.
- 常见的发现包括状的CBD开口,顶端狭窄和远端CBD异常.
- 在13名患者中,干预措施包括气球扩张,支架,石头提取和胆管消化道解.
结论:
- 当乳头没有可视化时,应考虑在子宫外胆道开口,特别是在角狭窄时.
- ERCP是一个有价值的工具,但需要专业知识;对于经常出现的问题,可能需要手术.
相关概念视频
01:26Endoscopic Procedures V: ERCP
332
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...
332
01:17Gallbladder
606
The gallbladder is a small, pear-shaped organ that plays a crucial role in our digestive system. Measuring about 10 cm in length, it is comparable in size to a kiwi fruit and is located in a hollow area on the lower surface of the liver. The gallbladder's primary function is to store and concentrate bile, a fluid produced by the liver that aids in digestion.
The gallbladder's anatomy consists of three regions: the fundus, body, and neck. Extending from the neck, the cystic duct joins...
The gallbladder's anatomy consists of three regions: the fundus, body, and neck. Extending from the neck, the cystic duct joins...
606