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内镜超声指导胆道排水 (EUS-BD) 是指内镜超声指导胆道排水

Andrew Canakis¹, Amy Tyberg²

¹Division of Gastroenterology & Hepatology, University of Maryland School of Medicine, 22 South Greene Street, Baltimore, MD 21201, USA.

Gastrointestinal endoscopy clinics of North America

|May 25, 2024

概括

以内镜超声波 (EUS) 引导的胆管排水 (BD) 为胆管接入提供了对ERCP的最小侵入性替代方案. EUS-BD表现出与ERCP相当或优于ERCP的结果,并且不良事件比穿皮排水少.

科学领域:

胃肠病学胃肠病学
最少侵入性的手术

背景情况:

内镜逆行胆血管细胞造影 (ERCP) 是胆道接入的标准.
在某些情况下,ERCP可能会失败,需要采用替代方法.
以内镜超声波 (EUS) 引导的胆管排水 (BD) 已成为一个可行的替代方案.

研究的目的:

审查EUS引导胆汁排水的技术和结果.
将EUS-BD与传统的ERCP和皮肤穿透肝胆道排水 (PTBD) 进行比较.

主要方法:

基于接入路径 (肝内,肝外) 和支架方法 (约会,前级,透光) 的不同EUS-BD技术的审查.
在技术成功,临床成功和不良事件方面,EUS-BD结果与ERCP和PTBD的比较.

主要成果:

EUS-BD可以通过肝内或肝外途径进行,使用各种支架方法.
与ERCP相比,EUS-BD的技术和临床成功率相当或更高.
与PTBD相比,EUS-BD与较低的不良事件率有关,并且不需要外部排水.

结论:

在ERCP失败时,EUS引导胆汁排水是一种有效和安全的最小侵入性程序,用于实现胆汁进入.
与PTBD相比,EUS-BD提供了优势,与ERCP相比,结果可比或更好.

关键词:

胆固醇二氧化二氧化二氧化.在 ERCP 里面,有很多 ERCP 项目.肝脏胃口切除术 (hepatogastrostomy) 是一种肝脏胃口切除术.灯光的应用金属支架.经肝胆道排水经肝胆道排水

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