在内镜超声指导胆道排水中存在争议
Christoph Frank Dietrich1, Paolo Giorgio Arcidiacono2, Manoop S Bhutani3
1Department Allgemeine Innere Medizin der Kliniken (DAIM) Hirslanden Beau Site, Salem und Permanence, 3013 Bern, Switzerland.
Cancers
|May 11, 2024
概括
以内镜超声波 (EUS) 引导的胆管排水为传统方法提供了安全有效的替代方案. 本综述将EUS技术与其他胆汁排水方案进行比较,强调技术考虑和培训需求.
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.
背景情况:
- 内镜逆行胆血管学 (ERC) 仍然是治疗性胆管接入的标准.
- 以EUS为指导的胆汁排水已经成为一种安全有效的替代方案.
- 在EUS指导的程序中存在技术挑战和有限的培训模型.
研究的目的:
- 为了比较各种EUS引导的胆管排水技术.
- 在当前的文献和实践中讨论EUS引导胆汁排水的争论的方面.
- 分析其他胆汁排水方案,包括皮肤穿透肝胆汁排水.
主要方法:
- 审查和对现有关于EUS引导胆汁排水的文献进行比较.
- 讨论不同的接入路线和对EUS程序的技术修改.
- 对EUS导向排水与ERC和皮肤穿透肝脏胆固醇排水的比较分析.
主要成果:
- 通过EUS引导的胆汁排水是ERC的可行替代方案,特别是在复杂的病例中.
- 对于不同的EUS接入路线,技术修改和特定工具至关重要.
- 穿皮透肝胆固醇排水在经验丰富的手中是一种强有力的替代方案.
结论:
- 以EUS为指导的胆汁排水技术正在发展,并提供显著的好处.
- 解决技术需求和改善培训对于更广泛的采用至关重要.
- 一种比较方法有助于选择最佳的胆汁排水策略.
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