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排水支架的新技术使用一个收缩扩展器在内镜超声波引导胆管排水内镜超声波引导胆管排水

Akihisa Kato¹, Michihiro Yoshida¹, Yasuki Hori¹

¹Department of Gastroenterology and Metabolism Nagoya City University Graduate School of Medical Sciences Aichi Japan.

|October 24, 2023

概括

一种使用缩扩张器的新技术改善了内镜超声波引导胆道排水 (EUS-BD). 这种方法在支架部署方面取得了100%的成功率,并防止了胆汁泄漏等并发症.

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.

背景情况:

透视式超声波引导胆管排水 (EUS-BD) 携带胆汁泄漏和腹膜炎的风险,特别是在具有挑战性的支架部署期间.
目前的EUS-BD技术缺乏标准化的方法或专门的设备来优化安全性和效率.

研究的目的:

评估一种新的支架部署技术的安全性和技术可行性,该技术用于EUS-BD.
评估这种集成器件在成功实现胆道排水方面的有效性.

主要方法:

对11名患者的回顾性分析,这些患者接受了EUS-BD,使用了缩扩展器.
该技术涉及导线插入,机械扩张,随后通过扩展器的外部署支架.

主要成果:

管道扩张和支架部署的技术成功率为100%.
所有患者都取得了临床成功,没有报告胆汁泄漏或腹膜炎的病例.
平均扩张时间为40秒;中位时间到支架部署为10分钟.

结论:

缩扩展器提供了一个安全而简单的集成系统,用于通道扩张和EUS-BD中的支架输送.
这种新的技术有可能在EUS-BD过程中提高程序结果和患者安全.

关键词:

在EUS-BD中使用.终端皮革 (Endosheather) 是一种皮革.胆汁泄漏胆汁泄漏胆汁泄漏胆道排水胆道排水圆的外套扩展器

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