在患有沙丘病的年轻患者的EUS导向采样后,中腹形成:要注意增加的风险!
Miguel Bispo1, Susana Marques1, Sara Teles de Campos1
1Department of Gastroenterology and Digestive Endoscopy, Champalimaud Foundation, Lisbon, Portugal.
GE Portuguese journal of gastroenterology
|November 29, 2023
概括
以内镜超声波 (EUS) 为指导的淋巴结采样通常是安全的,但在肉发病患者中会增加中枢的风险. 对内镜医生来说,意识和风险减轻策略至关重要.
科学领域:
- 胃肠病学 胃肠病学
- 肺部病理学 肺部病理学
- 传染性疾病 传染性疾病
背景情况:
- 以内镜超声波 (EUS) 为指导的采样是中硬质病变的标准.
- 该指南指出,囊性病变的感染风险较高.
- 之前的研究表明,在接受EUS指导淋巴结采样的病患者中,瘤风险增加.
研究的目的:
- 突出严重传染性并发症的风险增加,特别是中腹形成,在EUS引导的中淋巴腺病的细针活检后,在患有沙尔科毒症的患者中.
- 提醒内镜医生注意这种特定患者群体的风险.
主要方法:
- 追溯案例系列和系统审查.
- 病例介绍:一个38岁的男性患有沙尔科毒症,在EUS引导细针活检后,他患有大中腹.
- 分析现有的关于EUS指导采样并发症的文献.
主要成果:
- 在患有沙尔科病的患者中,EUS引导的中淋巴结采样与中腹形成的显著风险有关.
- 本案例显示,手术后出现严重的感染性并发症.
结论:
- 内镜医生必须认识到感染并发症的风险增加,当在怀疑或确诊的沙尔科毒症患者中进行EUS引导的淋巴结采样时.
- 实施降低这种风险的策略对于患者安全至关重要.
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