在胰腺癌的内镜超声波胆道排水
Kar Wai Lau1, Mihai Rimbaș2, Giulia Tripodi3
1Department of Gastroenterology, Royal Stoke University Hospital, United Kingdom. lkw163@hotmail.com.
Journal of gastrointestinal and liver diseases : JGLD
|December 26, 2023
概括
以内镜超声波 (EUS) 为指导的胆管排水是对恶性胆管阻塞的内镜逆行胆管松造影 (ERCP) 的可行的替代方案. EUS-BD提供了诸如改善支架透光度等优势,可以被视为主要程序.
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:
- 远端恶性胆道阻塞 (DMBO) 通常需要干预.
- 透镜逆行胆瘤细胞造影 (ERCP) 是一种标准的治疗方法,但可能不成功.
- 以内镜超声波 (EUS) 指导的胆管排水 (BD) 是一种成熟的救援疗法.
研究的目的:
- 评估EUS引导胆汁排水 (EUS-BD) 作为胆汁排水的主要程序的潜力.
- 在DMBO患者中,将EUS-BD与ERCP的结果进行比较.
主要方法:
- 审查现有证据支持EUS-BD作为一次性排水程序.
- 在DMBO患者中,EUS-BD结局与ERCP的比较.
主要成果:
- EUS-BD通过胃或十二指肠提供接入.
- 可以使用新的胆汁支架,并将其远离狭窄区域,从而可能增加支架通透性.
- 有证据表明,EUS-BD和ERCP之间的结果是可比的.
结论:
- 通过EUS引导的胆汁排水是DMBO的ERCP的一个有希望的替代方案.
- 由于EUS-BD的优势,它可以被视为初级干预.
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