自扩展金属支架的进步用于内镜超声波引导干预
Dong Kee Jang1, Dong Wook Lee2, Seong-Hun Kim3
1Department of Internal Medicine, Seoul Metropolitan Government Boramae Medical Center, Seoul National University College of Medicine, Seoul, Korea.
Clinical endoscopy
|July 9, 2024
概括
自扩展金属支架 (SEMS),特别是对照光的金属支架 (LAMS),已经彻底改变了内镜超声波 (EUS) 引导的干预. 这些进步使得各种疾病的创新排水和胃肠口术程序成为可能.
科学领域:
- 胃肠病学和内镜检查
- 医疗设备创新 医疗设备创新
背景情况:
- 以内镜超声波 (EUS) 为指导的干预已经取得了显著的进展.
- 专用金属支架是推动EUS程序进步的关键创新.
研究的目的:
- 审查自扩展金属支架 (SEMS) 在EUS指导干预的最新进展.
- 讨论特定支架设计的作用,包括Lumen-apposing金属支架 (LAMS),在EUS程序中.
主要方法:
- 关于SEMS及其在EUS指导干预中的应用的文献审查.
- 专注于创新,如双边支架,LAMS和修改的管状SEMS等.
- 在排水和胃肠静脉术过程中应用的分析.
主要成果:
- 兰斯 (LAMS) 和非兰斯 (LAMS) 支架对于胰腺液收集的EUS导向排水至关重要,特别是隔墙性瘤.
- 拉姆斯促进了EUS引导的胆囊,普通胆道和胃肠静脉排水.
- 目前正在探索覆盖管状SEMS的新设计,用于EUS引导的胆汁排水.
结论:
- SEMS,特别是LAMS和新的管状设计,已经显著扩大了EUS指导干预的能力.
- 这些支架在复杂的胃肠道疾病中是成功排水和绕道程序的组成部分.
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