胆道支架内支架的反复阻塞:加热溶液
Tânia Carvalho1, Andreia Guimarães2, Tiago Leal2
1Gastroenterology, Braga Hospital, Portugal.
Revista espanola de enfermedades digestivas
|April 9, 2024
概括
射频除 (RFA) 对良性胆道狭窄有希望,但可能会出现胆道炎和胰腺炎等并发症. 内膜肺部射频切除 (ERLA) 导管可以降低这些风险.
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.
- 胆汁干预 胆汁干预
背景情况:
- 导管内射频移除 (RFA) 用于恶性胆道阻塞和囊性瘤.
- 新出现的证据表明,RFA在治疗良性胆道狭窄症方面具有潜力.
研究的目的:
- 评估导管内射频除对良性胆道狭窄的疗效和安全性.
- 为了比较不同RFA导管的结果和并发症概况.
主要方法:
- 对对良性胆道狭窄的导管内射频移除现有研究的综述.
- 分析报告的并发症,包括胆管炎,胰腺炎,出血和穿孔.
- 温度和阻抗控制导管 (ERLA) 与非控制导管的比较.
主要成果:
- 射频除在选择的良性胆道狭窄病例中显示出有希望的结果.
- 指出了潜在的并发症,但通常可以保守地管理.
- 肺内射频消化 (ERLA) 导管提供温度和阻抗控制,可能减轻风险.
结论:
- 导管内RFA是良性胆道狭窄的可行选择,有可能使用受控导管改善结果.
- 由于潜在的并发症,仔细选择和监测患者至关重要.
- ERLA导管可能提供一种更安全的方法,在胆道系统中治疗RFA.
相关概念视频
Chronic Bowel Disorders: Introduction
449
Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
449
Endoscopic Procedures V: ERCP
208
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...
208
Esophageal Strictures-I: Introduction
88
Esophageal strictures involve abnormal narrowing or tightening of the esophagus. They vary in length and severity, ranging from mild constriction to complete obstruction, and are classified as benign (noncancerous) or malignant (cancerous).
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...
88
Esophageal Strictures-II: Clinical Features and Management
68
Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
68
Inflammatory Bowel Disease V: Surgical Management
145
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:
145
Esophageal Perforation-II: Clinical Manifestations and Management
58
Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
Clinical Manifestations:
58


