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内镜胆囊排水:关于指示,技术和未来前景的全面审查

Edoardo Troncone¹, Rosa Amendola¹, Alessandro Moscardelli¹

¹Department of Systems Medicine, University of Rome "Tor Vergata", 00133 Rome, Italy.

Medicina (Kaunas, Lithuania)

|April 27, 2024

概括

治疗内镜,包括内镜跨乳皮胆囊排水 (TGBD) 和内镜超声波 (EUS) 引导胆囊排水 (EUS-GBD),提供有效的胆囊疾病管理. 通过使用光线对立金属支架 (LAMS) 进行EUS引导的胆囊排水,可以提高治疗选择和可访问性.

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.
胆道干预胆道干预胆道干预

背景情况:

治疗性内镜是一种对胆囊疾病的微创,有效和安全的方法.
内透皮胆囊排水 (TGBD) 和内超声 (EUS) 引导胆囊排水 (EUS-GBD) 为急性胆囊炎提供内部排水,优于皮质胆囊排水 (PGBD).

研究的目的:

要审查内镜胆囊排水技术,TGBD和EUS-GBD.
将内镜胆囊排水与PGBD的临床疗效进行比较.
讨论EUS-GBD的未来前景和不确定性.

主要方法:

审查关于TGBD和EUS-GBD的现有文献.
对比内镜技术与PGBD治疗急性胆囊炎.
评估EUS-GBD与光对立金属支架 (LAMS) 进行干预和救援治疗.

主要成果:

通过LAMS的EUS-GBD扩大了急性胆囊炎的内镜治疗方法,提高了易用性和可用性.
通过EUS-GBD,可以进行胆囊镜指导的干预,如胆结石石透和清除.
在恶性胆道阻塞的救援疗法中,EUS-GBD显示出前途.

结论:

内镜胆囊排水,特别是EUS-GBD与LAMS,是胆囊疾病的宝贵工具.
在EUS-GBD中,除了简单的排水之外,还提供了多功能处理选项.
需要进一步的研究来解决有关EUS-GBD的当前不确定性.

关键词:

在 ERCP 里面,有很多 ERCP 项目.通过EUS引导的排水系统.在急性胆囊炎中,胆道阻塞胆道阻塞胆固醇切除术 (cholecystectomy) 是一种切除术.胆囊静脉修复 (Cholecystostomy) 是一种胆囊静脉修复.干预性EUS可以使用.治疗性EUS可以使用.

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