在接受ERCP的胆道结石患者中,肥胖和石头清理不完全的风险
Veeravich Jaruvongvanich1, Vishal Garimella2, Jyotroop Kaur2
1Division of Gastroenterology, Queen's Health System, Honolulu, HI, USA.
Obesity surgery
|December 13, 2023
概括
肥胖症不会影响胆道结石患者内镜逆行胆道细胞造影 (ERCP) 的结果. 这项研究发现,接受ERCP的肥胖和非肥胖个体之间的石头清除,复发或不良事件没有显著差异.
科学领域:
- 胃肠病学 胃肠病学
- 胆道内镜检查 胆道内镜检查
- 肥胖医学 肥胖医学
背景情况:
- 肥胖症可能会影响光镜图像质量,可能会影响内镜逆行胆血管细胞造影 (ERCP) 的结果.
- 肥胖对ERCP成功和胆结石疾病安全性的影响尚不清楚.
研究的目的:
- 为了比较肥胖与非肥胖患者的临床结果和不良事件 (AE),这些患者接受了ERCP治疗胆道结石相关疾病.
- 为了确定肥胖是否与较差的ERCP结果有关.
主要方法:
- 对229名患者 (116名肥胖者,113名非肥胖者) 的回顾性分析,这些患者接受了胆道结石ERCP.
- 评估的结果包括成功的胆道管,不完整的胆道结石清除,反复出现的胆道结石和AE.
主要成果:
- 所有患者都取得了成功的胆管管.
- 在肥胖和非肥胖组之间,在不完整的石头清除 (11.3%与9.0%),复发性石头 (1.9%与4.2%) 或AE (1.8%与0.7%) 中没有发现显著差异.
结论:
- 肥胖与接受ERCP治疗胆结石疾病的患者的不良结果无关.
- 在肥胖和非肥胖患者之间,成功的管,石头清除,复发率和副作用是可比的.
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