胰腺液收集的内镜疏通
Nicholas G Brown1, Amrita Sethi2
1Department of Medicine, Columbia University Irving Medical Center, Weill Cornell Medicine, NewYork-Presbyterian/Brooklyn Methodist Hospital, 515 6th Street, Concourse, Brooklyn, NY 11215, USA; Weill Cornell, 1283 York Avenue, New York, NY 10065, USA; Division of Digestive and Liver Disease, Columbia University Irving Medical Center, 630 West 168th Street, P&S 3-401, New York, NY 10032, USA.
Gastrointestinal endoscopy clinics of North America
|May 25, 2024
概括
使用光对立金属支架 (LAMS) 进行内镜超声波导向排水是胰腺液收集 (PFC) 的标准. 仔细跟踪是必要的,以监测排水放置后延迟的不良事件.
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.
- 胰腺学 胰腺学
背景情况:
- 胰腺液收集 (PFC) 是急性和慢性胰腺炎的常见并发症.
- 内镜超声波 (EUS) 已经彻底改变了PFCs的管理.
- 目前,EUS导向的跨壁排水是对有症状或感染的PFC的标准护理.
研究的目的:
- 审查目前的护理标准,以EUS为导向的PFCs的跨壁排水.
- 为了比较传统的塑料支架与光线附加金属支架 (LAMS).
- 强调对延迟不良事件的术后随访的重要性.
主要方法:
- 审查目前用于PFC排水的内镜技术.
- 支架类型的比较:塑料支架与LAMS相比.
- 讨论安全和后续协议.
主要成果:
- 通过EUS导向的跨壁排水是PFCs的既定处理方法.
- 由于效率和易用性,LAMS越来越受青,而不是塑料支架.
- 虽然通常是安全的,但与排水相关的延迟不良事件需要谨慎跟踪.
结论:
- LAMS代表了EUS引导的胰腺液收集的排水的进步.
- LAMS的有效性和安全性已经得到了很好的证实.
- 术后监测对于管理潜在的延迟并发症至关重要.
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