用内镜超声波引导胆囊排水的结果:来自印度的多中心研究 (附视频)
Radhika Chavan1, Vikas Singla2, Sridhar Sundaram3
1Department of Gastroenterology and Endoscopy, Ansh Clinic, Maninagar, Ahmedabad, 380 008, India. drradhikachavan@gmail.com.
概括
在印度,内镜超声引导胆囊排水 (EUS-GBD) 对急性胆囊炎和胆道阻塞是安全有效的. 这项多中心研究显示,EUS-GBD的成功率很高,这是一种侵入性最小的替代方案.
科学领域:
- 胃肠病学 胃肠病学
- 最少侵入性的手术
- 干预性内镜检查是干预性的内镜检查.
背景情况:
- 透视式超声导向胆囊排水 (EUS-GBD) 是一种对高风险急性胆囊炎患者的皮肤通胆囊切除术 (PCC) 的微创替代方案.
- 此外,EUS-GBD还可以作为恶性远端胆道阻塞的救援胆道排水方法.
- 关于印度人口中EUS-GBD结果的数据有限.
研究的目的:
- 通过第一个多中心研究报告印度EUS-GBD的结果.
- 评估EUS-GBD对急性胆囊炎和恶性远端胆道阻塞的安全性和有效性.
主要方法:
- 在6个印度三级医疗中心对29名接受EUS-GBD治疗的患者进行了回顾性分析 (2022年3月 - 2023年11月).
- EUS-GBD使用自由手或过导线技术进行,使用光线施加金属支架 (LAMS) 或大口径金属支架 (LCMS).
- 主要结局:技术成功;次要结局:临床成功,不良事件,30天死亡率和90天再干预率.
主要成果:
- 观察到高的技术 (96.55%) 和临床 (82.75%) 成功率.
- 症状包括急性胆囊炎 (79.31%) 和恶性远端胆道阻塞 (20.69%).
- 副作用发生在27.59%的患者中,严重事件 (胆汁泄漏,出血) 不常见 (10%). 30天死亡率和90天重新干预率为13.79%.
结论:
- EUS-GBD是一种安全有效的内镜技术,用于管理高风险患者的急性胆囊炎.
- 在恶性远端胆道阻塞的情况下,EUS-GBD提供有效的胆道排水.
- 该研究强调了EUS-GBD在印度环境中的可行性和积极结果.
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