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胰腺和胆道支架对内镜后乳头切除术并发症的影响:单中心回顾性研究
Nan Ru1, Ningli Chai2, Bo Zhang2
1Department of Gastroenterology, The First Medical Center of Chinese People's Liberation Army General Hospital, Beijing 100853, China.
Chinese medical journal
|May 29, 2024
概括
胰腺支架最好用于预防内镜后乳头切除术的胰腺炎. 胆管支架可以作为一种替代方案,但为了防止并发症,双重支架通常是不必要的.
科学领域:
- 胃肠病学 胃肠病学
- 内視鏡外科手術 內視鏡外科手術
- 在瘤学瘤学.
背景情况:
- 内镜乳头切除术 (EP) 是对囊瘤的首要治疗方法.
- 在EP后的并发症很常见,在内镜医生的自由裁量范围内使用预防性支架.
- 该研究评估了不同类型的支架在预防EP后并发症方面的有效性.
研究的目的:
- 为了比较胰腺支架,胆汁支架和双支架在内镜乳头切除术后预防并发症的疗效.
- 为了确定与EP后并发症相关的风险因素.
主要方法:
- 这是一项对117名接受EP治疗的患者的回顾性研究.
- 患者被分为三组:胰腺支架 (PS),胆汁支架 (BS) 和胰腺和胆汁支架 (PBS).
- 用多变量逻辑回归分析临床数据,以确定并发症的风险因素.
主要成果:
- 整体并发症率为37.6%,胰腺炎 (14.5%) 和出血 (17.9%) 是最常见的.
- 在PS,BS和PBS组之间没有观察到EP后胰腺炎或其他并发症的显著差异.
- 年龄是胰腺炎的危险因素,瘤大小是出血的危险因素.
结论:
- 胰腺支架是预防EP后胰腺炎的首选方法.
- 胆汁支架可以作为另一种选择,特别是当胰腺管是具有挑战性的时.
- 通常不需要双支架,除非存在特定的临床适应症.
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