建议和技巧,用于内透皮胆囊排水的内透皮胆囊排水
Jad P AbiMansour1, Ryan J Law1, Andrew C Storm1
1Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota.
概括
在非手术患者中,内透皮胆囊排水为胆囊炎的皮肤间排水提供了一个无切口的替代方案. 本研究详细介绍了ERCP期间成功内镜胆囊接入和排水的技术.
科学领域:
- 胃肠病学和肝病学 胃肠学和肝病学
- 最少侵入性的内镜手术
背景情况:
- 透皮胆囊排水是非手术胆囊炎患者的标准.
- 内透皮胆囊排水提供了一个内部的,没有切口的替代方案.
研究的目的:
- 在ERCP期间描述选择性囊性管道管和胆囊排水的技术.
- 在具有挑战性的病例中突出成功进行内透皮胆囊排水的最佳实践.
主要方法:
- 展示透皮胆囊手术的内镜和光镜视频和图像.
- 标准和具有挑战性的囊性管道通道的详细技术,包括导线操纵和闭塞气球.
- 使用专用设备进行管道扩张和双猪尾支架的安置.
主要成果:
- 通过各种方法,包括可旋转的导管和较小的导线,成功实现了囊性管道管.
- 用标准和较小的血管造形气球扩展囊管用于狭窄.
- 部署双尾牙支架和一种新的双线接入技术,以避免重新接入.
结论:
- 内透皮胆囊排水对于治疗非手术候选人的胆囊炎是安全有效的.
- 坚持ERCP的基本原则和描述的技术确保了成功的结果.
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