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超过五年被遗忘的胆汁支架的结果 - 一个二十年的经验

Shyam Sunder Sharma¹, Sudhir Maharshi², Bharat Sapra¹

¹Department of Gastroenterology, S M S Medical College and Hospitals, Room No. 218, Superspeciality Block, Jaipur, 302 004, India.

Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology

|January 11, 2024

概括

被遗忘的胆道支架放置超过五年是不常见的,但可能导致严重的并发症,如胆管炎. 在大多数情况下都能成功切除,往往避免了手术.

科学领域:

胃肠病学胃肠病学
肝病学肝病学是一种肝病学.
内镜手术进行内镜手术

背景情况:

长时间的胆管支架可能会导致并发症,包括胆管炎,支架石和迁移.
在医学文献中,已被遗忘五年多的胆管支架的数据很少.

研究的目的:

调查与留在位子中的胆管支架超过5年的并发症和结果.
为了分析来自第三级护理中心的患者数据,关于被遗忘的胆管支架.

主要方法:

在1990年至2022年期间,对接受了内镜逆行胆血管细胞造影 (ERCP) 和塑料胆道支架放置的患者进行了回顾性分析.
纳入标准:失去了随访,导致支架被遗忘超过五年 (n=40).
评估支架指示,支架状况,并发症和患者结果.

主要成果:

胆道支架最常见的症状是胆固醇胆病 (82.5%).
一个被遗忘的支架的平均持续时间是5.9±3.6年.
主要并发症是胆管炎 (87.5%),其次是内部支架迁移 (5%).
在大多数患者中 (分别为90.9%和77.5%) 石头和支架的切除成功.

结论:

超过五年的遗忘胆道支架不常见,主要在患有胆固醇胆固醇病的患者中见到.
胆管炎是长期遗忘的支架最常见的并发症.
虽然大多数患者能够成功地去除石头和支架,但很少有可能需要手术干预.

关键词:

胆汁泄漏是因为胆汁泄漏.胆胆的情况胆道狭窄性胆道狭窄性一个破碎的支架.胆管炎是一种胆管炎.胆固醇胆固醇质症是一种病.内镜逆行性胆血管造机图 (cholangiopancreatography) 是一种内镜逆行式胆血管造机图.迁移的支架迁移的支架胰腺 - 胆 - 胆延长时间的持续时间.切除支架切除支架的方法支架支架是一种支架.

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