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在患有循环十二指肠切换器的患者中,跨肠 rendez-vous ERCP
Sarah Lee1, Subhash R Patil2, Shilpa Lingala3
1Department of Surgery, Sutter Roseville Medical Center, Roseville, California, USA. (Dr Lee).
CRSLS : MIS case reports from SLS
|February 23, 2024
概括
穿越肠道的约会ERCP是一种可行的方法,用于胆道阻塞患者的循环十二指甲切换器 (DS) 解剖. 本案例报告详细介绍了这种技术在循环DS患者中首次成功使用的情况,为管理胆汁问题提供了一个新的选择.
科学领域:
- 胃肠病学 胃肠病学
- 手术创新 在外科创新.
- 胆汁干预 胆汁干预
背景情况:
- 内镜逆行胆血管细胞造影 (ERCP) 在经过手术改变解剖学的患者中具有挑战性,特别是在十二指甲切换 (DS) 程序后.
- 循环DS,也被称为单一瘤双 - 瘤切除术 (SADI) 或胃肠节省手术 (SIPS),为ERCP带来了独特的解剖挑战.
- 在DS患者中很少报告过跨肠道约会ERCP,并且以前没有记录在循环DS解剖学中.
研究的目的:
- 描述在患有循环十二指肠切换器 (DS) 解剖的患者中跨肠交会ERCP的可行性.
- 为了介绍这种技术在循环DS (SADI/SIPS) 中用于胆道阻塞的第一个报告的案例.
主要方法:
- 一名50岁的男性,先前患有循环DS,出现了胆结石胰腺炎.
- 进行了腹腔镜胆囊切除术,由于手术内胆道图呈阳性,显示需要ERCP.
- 通过肠道结合ERCP成功地用于缓解胆道阻塞.
主要成果:
- 成功的跨肠 rendezvous ERCP 在一个具有循环 DS 解剖学的患者中进行.
- 使用这种技术有效地缓解了胆道阻塞.
结论:
- 跨肠道约会ERCP是一种可行和可行的方法,用于管理循环DS解剖患者的胆道阻塞.
- 这种技术为以前缺乏报告的内镜干预的复杂病例提供了潜在的解决方案.
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