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在内镜逆行性胆血管细胞造影仪 (cholangiopancreatography) 中突然检测到瘤

Koichi Soga¹, Shun Okada², Fuki Hayakawa²

¹Gastroenterology, Dokkyo Medical University Saitama Medical Center, Japan.

Revista espanola de enfermedades digestivas

|July 5, 2024

概括

在内镜逆行性胆血管细胞造影 (ERCP) 过程中出现意想不到的耐药性,可能表明是状鼻瘤. 快速评估和替代方法,如直视食道胃道透镜 (EGD),对于诊断和安全干预至关重要.

科学领域:

胃肠病学胃肠病学
内镜检查是指内镜检查.
在瘤学瘤学.

背景情况:

阳性创伤和穿孔是与内镜逆行胆瘤学术 (ERCP) 相关的重大风险.
早期识别解剖异常对于ERCP过程中的程序成功和患者安全至关重要.

研究的目的:

报告一个pyriform鼻瘤复杂ERCP的病例.
强调在ERCP过程中识别意外抵抗的重要性以及直视食道胃管透镜 (EGD) 的实用性.

主要方法:

一名患有阻塞性黄的76岁男性接受了ERCP.
最初的ERCP试验在火状鼻上遇到了阻力,促使切换到直接视图食道胃管透镜 (EGD).
检索到的组织的病理检查证实了状鼻瘤,随后的ERCP以导线辅助成功实现了胆管排水.

主要成果:

直接视图食道胃管腺镜 (EGD) 揭示了导致狭窄的状鼻瘤.
成功的胆汁排水最终通过使用导线辅助的ERCP方法实现.
组织碎片证实了ERCP插入部位的瘤存在.

结论:

在ERCP期间出现意想不到的阻力,需要立即停止操纵并进行彻底评估.
状鼻瘤可以在ERCP期间出现并发症,需要通过EGD进行诊断确认.
内镜医生,特别是实习生,必须保持对潜在并发症的警,并准备好使用替代的内镜技术.

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