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以EUS为指导的跨结肠排水和壁隔性瘤中的瘤切除术:一个回顾性,单中心病例系列

Mohamed Ebrahim¹, Srdan Novovic^1,2, Palle Nordblad Schmidt¹

¹Pancreatitis Centre East, Gastrounit, Copenhagen University Hospital - Amager and Hvidovre, Hvidovre, Denmark, Hvidovre Hospital, Hvidovre, Denmark.

Endoscopy international open

|October 19, 2023

概括

通过内镜超声波 (EUS) 引导的跨结肠或跨直肠排水为胰腺隔墙性瘤提供了一个安全有效的微创性选择,当其他方法失败时. 这种方法在最近的一项研究中显示,技术和临床成功率很高,不良事件很少.

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.
手术瘤学手术瘤学

背景情况:

胰腺隔离性亡 (WON) 管理通常涉及跨胃内镜超声波 (EUS) 引导的排水和切除术.
在某些情况下,穿胃或穿皮排水可能是不可能的或不足的.

研究的目的:

评估EUS引导的跨结肠或跨直肠排水和死体切除术的可行性,安全性和有效性.
评估这种方法作为胰腺WON的最小侵入性替代方案.

主要方法:

对9名接受EUS指导的跨结肠/跨直肠排水和死体切除术的患者的回顾性评估.
分析技术成功,临床成功和不良事件.

主要成果:

100%的技术成功率.
89%的临床成功率.
一次不良事件 (11%);78%的患者需要通过直肠/经结肠切除体.

结论:

通过EUS引导的横结肠/横直肠排水和切除术是一种可行的,安全和有效的胰腺WON治疗方法.
这种微创的技术提供了一个有价值的替代品,当标准的排水方法是不可行的或失败.

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