用一次性十二指镜 (SUD) 在中度至重度结肠炎患者中进行紧急ERCP:单中心前性研究
Graziella Masciangelo1, Paolo Cecinato2, Igor Bacchilega1
1Gastroenterology Unit, Hospital of Imola, University of Bologna, Imola, Italy.
Endoscopy international open
|January 22, 2024
概括
单次使用的十二指镜 (SUD) 是安全有效的紧急内镜逆行胆血管细胞造影 (ERCP) 在中度至重度胆炎的患者,防止范围污染而不影响结果.
科学领域:
- 胃肠病学 胃肠病学
- 内镜检查是指内镜检查.
- 传染病控制和控制传染病
背景情况:
- 中度至重度的胆管炎带来了重大的临床挑战.
- 传统的十二指镜带有交叉污染的风险.
- 紧急内镜逆行胆血管细胞造影 (ERCP) 是一个关键的干预.
研究的目的:
- 用一次性十二指镜 (SUD) 评估紧急ERCP的安全性和有效性.
- 为了评估中度至重度结肠炎患者接受ERCP与SUD的患者的结果.
- 确定与不良事件和死亡率相关的因素.
主要方法:
- 预期招募中度至重度结肠炎患者进行紧急ERCP与SUD.
- 技术成功被定义为完成计划程序.
- 多变量分析以确定不良事件和死亡率的预测因素.
主要成果:
- 实现了100%的技术和临床成功率.
- 较低的不良事件发生率:轻度胰腺炎 (1名患者),延迟出血 (2名患者).
- 白血病与3个月死亡率独立相关 (OR 12.8,P=0.03).
结论:
- 一次性十二指镜 (SUD) 是急性胆道炎急需ERCP的安全有效选择.
- 这种方法消除了感染患者的十二指镜污染风险.
- 临床结果没有受到SUD的使用的影响.
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