恶性胆道阻塞的内镜治疗
Cecilia Binda1, Margherita Trebbi1, Chiara Coluccio1
1Gastroenterology and Digestive Endoscopy Unit, Forlì-Cesena Hospitals, AUSL Romagna, Forlì-Cesena (Cecilia Binda, Margherita Trebbi, Chiara Coluccio, Paolo Giuffrida, Barbara Perini, Giulia Gibiino, Stefano Fabbri, Elisa Liverani, Carlo Fabbri).
Annals of gastroenterology
|May 23, 2024
概括
恶性胆道阻塞 (MBO) 往往需要内镜胆道排水由于不可切除和新辅助化疗. 以内镜超声波 (EUS) 引导的排水越来越多地与其他内镜和皮方法一起被接受.
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.
- 在瘤学瘤学.
背景情况:
- 恶性胆道阻塞 (MBO) 是常见的,在诊断时经常无法切除.
- 新辅助化疗越来越多地使用,需要胆道排水.
- 内镜胆道排水是MBO管理的一个关键干预措施.
研究的目的:
- 审查目前对远端和部MBO的内镜治疗的证据.
- 突出干预性内镜超声波 (EUS) 在胆管排水中的作用.
- 讨论MBO内镜治疗中的当前热门话题.
主要方法:
- 关于内镜胆汁排水技术的综合文献综述.
- 专注于EUS引导的胆汁排水,透皮排水和穿皮方法.
- 对当前实践和新兴趋势进行基于证据的分析.
主要成果:
- 通过EUS引导的胆汁排水已经获得了显著的认可.
- 内镜技术对于管理MBO至关重要,尤其是在不可切割的情况下.
- 多种内镜和皮肤穿方法可用于胆汁排水.
结论:
- 内镜干预,特别是EUS引导的排水,对于管理MBO至关重要.
- 该审查提供了基于证据的概述,目前的内镜作用和未来的方向.
- 对MBO的最佳管理策略涉及考虑排水选项的多学科方法.
相关概念视频
01:26Endoscopic Procedures V: ERCP
190
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...
190
01:21Inflammatory Bowel Disease V: Surgical Management
144
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:
144
01:25Peptic Ulcer Disease V: Surgical Management and Nursing Care
292
Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease
Surgical Interventions for Peptic Ulcer Disease
292
01:28Esophageal Varices-II: Clinical Features and Management
60
Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
60
01:26Esophageal Strictures-II: Clinical Features and Management
66
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...
66
01:29Chronic Pancreatitis II: Collaborative Care
84
The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
Assessment:
84