难以常见的胆道结石≤12毫米的内皮质大气球扩张与膜切除:一个前性研究
Magdalini Velegraki1, Despoina Arna1, Pinelopi Nikolaou1
1Department of Gastroenterology, Venizeleion General Hospital, Heraklion, Crete, Greece (Magdalini Velegraki, Despoina Arna, Pinelopi Nikolaou, Andreas Psistakis, Maria Fragaki, Emmanouil Vardas, Gregorios Paspatis).
Annals of gastroenterology
|January 15, 2024
概括
用胆管缩切除术进行内皮质大气球扩张,有效防止常见胆道结石重复出现,直至12毫米. 这种手术显示了患者中长期石头复发率非常低.
科学领域:
- 胃肠病学 胃肠病学
- 内镜手术是一种内镜手术.
- 胆道疾病 胆道疾病
背景情况:
- 结石复发是内镜胆道清除后的一个重要并发症.
- 用胆管缩术 (EBS) 进行内皮质大气球扩张 (EPLBD) 对大型常见胆道结石 (CBDS) 有效.
- 对于CBDS ≤12 mm 的 EPLBD+EBS 有有限的数据.
研究的目的:
- 为了前性地评估EPLBD+EBS对CBDS复发的中长期和长期疗效,患者的结石≤12毫米.
主要方法:
- 72名CBDS (8-12毫米) 患者的前性随访,接受EPLBD+EBS治疗至少36个月.
- CBDS复发定义为在随访期间由ERCP确认的石头.
- 收集关于患者人口统计,石头特征和手术结果的数据.
主要成果:
- 在任何患者中都没有观察到中期复发.
- 长期的CBDS复发仅发生在2/72 (2.7%) 的患者中.
- 手术后并发症的发病率较低,包括出血 (1.4%) 和胆管炎 (2.8%). 没有发现穿孔或胰腺炎.
结论:
- 在石头≤12毫米的患者中,EPLBD+EBS与中长期CBDS复发率非常低有关.
- 该程序在这个患者群体中显示出良好的安全性和有效性.
- 随机对照试验的进一步调查是有必要的,以证实这些发现.
相关概念视频
Endoscopic Procedures V: ERCP
239
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...
239
Inflammatory Bowel Disease V: Surgical Management
147
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:
147
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
88
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
88


