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胆管和胰腺管道排水中的内镜超声波的当前范式:一个更新

Vaneet Jearth¹, Sridhar Sundaram², Aditya Kale²

¹Department of Gastroenterology, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh (Vaneet Jearth, Anurag Sachan, Surinder Singh Rana).

Annals of gastroenterology

|January 15, 2024

概括

内镜逆行胆血管细胞造影 (ERCP) 有其局限性. 透视超声导向胆管排水 (EUS-BD) 和胰腺管道排水 (EUS-PDD) 为复杂的胆管和胰腺干预提供了替代解决方案.

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.
医疗成像医学成像

背景情况:

内镜逆行胆血管细胞谱 (ERCP) 是胆道和胰腺管干预的主要工具.
ERCP面临着改变解剖学的挑战,难以访问乳头,以及严重的近道管道阻塞.
这些局限性需要替代方法来成功进行干预.

研究的目的:

审查内镜超声波引导胆管排水 (EUS-BD) 的技术和结果.
讨论EUS引导胰腺管道排水 (EUS-PDD) 的应用和结果.
突出ESS指导的干预作为ERCP故障后的救援程序.

主要方法:

审查有关EUS-BD和EUS-PDD程序的现有文献.
在EUS指导的胆管和胰腺干预中使用的技术分析.
对EUS-BD和EUS-PDD报告的结果和成功率的评估.

主要成果:

在ERCP失败后,EUS-BD和EUS-PDD已经成为有效的救援选择.
这些内镜超声波引导的技术为复杂的病例提供了可行的解决方案.
报道了各种EUS-BD和EUS-PDD程序的成功结果.

结论:

由EUS指导的干预措施显著扩大了胆道和胰腺管道疾病的治疗选择.
当ERCP不可行或失败时,EUS-BD和EUS-PDD是有价值的替代方案.
进一步的研究和EUS指导技术的标准化可以优化患者的治疗结果.

关键词:

内分泌声学 (endosonography) 是一种内分泌声学 (endosonography) 是一种内分泌声学 (endosonography)胆囊胆囊胆囊胆囊灯光应用金属支架的金属支架.胰腺管道是什么意思自扩张的金属支架

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