用内镜超声波引导的胰腺管干预的长期结果:一个单一的三级中心的经验
Joan B Gornals1, Albert Sumalla-Garcia1, Daniel Luna-Rodriguez1
1Endoscopy Unit, Department of Digestive Diseases, Hospital Universitari de Bellvitge, L'Hospitalet de llobregat, Barcelona, Spain; Bellvitge Biomedical Research Institute, L'Hospitalet de Llobregat, Barcelona, Spain; Universitat de Barcelona, Barcelona, Spain.
Gastroenterologia y hepatologia
|June 21, 2024
概括
以内镜超声导向的胰腺管干预 (EUS-PDI) 为未成功的内镜逆行性胰腺学图 (ERP) 提供了有效的救援疗法. 虽然在技术上具有挑战性,EUS-PDI取得了78.5%的成功,尽管21%的患者经历了不良事件.
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:
- 透视超声导向胰腺管干预 (EUS-PDI) 是一种复杂的程序,报告的经验有限.
- 由于EUS-PDI的稀有性,存在一个知识差距.
研究的目的:
- 在第三级推中心报告EUS-PDI的积累经验.
- 评估EUS-PDI作为救援疗法的疗效和安全性.
主要方法:
- 对从2013年1月到2021年6月前性收集的数据进行回顾性队列研究.
- 包括14名接受25次EUS-PDI手术的患者,用于未成功的内镜逆行性胰腺学图 (ERP).
主要成果:
- 主要适用于慢性胰腺炎与胰腺管道阻塞 (78%).
- 技术和临床成功率为78.5% (11/14名患者).
- 21%的患者出现了不良事件,包括发烧,穿孔和胰腺炎.
结论:
- 对于ERP失败的患者来说,EUS-PDI是有效的救援选择.
- 如果最初的尝试失败了,该程序可以从EUS引导的约会到跨壁排水过渡.
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