良性胆道狭窄的内镜管理:寻找最好的支架放置
Matteo Colombo1, Edoardo Forcignanò2, Leonardo Da Rio1
1Digestive Endoscopy Unit, Division of Gastroenterology, Humanitas Research Hospital, Rozzano 20089, Milan, Italy.
World journal of clinical cases
|December 11, 2023
概括
良性胆道狭窄 (BBS) 可能是由各种胰腺胆道问题引起的. 本综述详细介绍了内镜逆行性胆血管细胞学作为主要治疗方法,探索了内镜选择,以实现最佳的患者管理.
科学领域:
- 胃肠病学 胃肠病学
- 肝病学 肝病学是一种肝病学.
- 内镜医学是一种内镜医学.
背景情况:
- 良性胆道狭窄 (BBS) 是一组多样化的疾病.
- 病因和狭窄位置显著影响临床表现.
- 管理策略因患者适应性和治疗结果而异.
研究的目的:
- 审查良性胆道狭窄的内镜治疗方式.
- 为BBS患者提供最佳管理策略的概述.
- 突出显示内镜逆行胆血管细胞造影 (ERCP) 作为一线治疗的作用.
主要方法:
- 对BBS的内镜治疗的文献综述.
- 基于狭窄病因和位置的临床表现分析.
- 评估ERCP作为一次性干预.
主要成果:
- 内镜逆行胆血管细胞造影是BBS的第一线治疗方法.
- 当内镜治疗不可行时,可以考虑干预性放射学和手术.
- 为了管理BBS,存在各种内镜技术.
结论:
- 内镜管理对于优化BBS患者的治疗结果至关重要.
- 在良性胆道狭窄时,ERCP提供了一种主要的治疗方法.
- 对内镜选项的全面了解对于有效的BBS治疗至关重要.
相关概念视频
Esophageal Strictures-II: Clinical Features and Management
73
Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
73
Inflammatory Bowel Disease V: Surgical Management
148
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
148
Esophageal Strictures-I: Introduction
102
Esophageal strictures involve abnormal narrowing or tightening of the esophagus. They vary in length and severity, ranging from mild constriction to complete obstruction, and are classified as benign (noncancerous) or malignant (cancerous).
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...
102
Endoscopic Procedures V: ERCP
258
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...
258
Peptic Ulcer Disease V: Surgical Management and Nursing Care
308
Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease
Surgical Interventions for Peptic Ulcer Disease
308
Chronic Bowel Disorders: Introduction
456
Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
456

