在肝-胰腺-胆道干部进行内镜干预期间对阳性穿孔的管理
Kirsten Boonstra1, Rogier P Voermans2, Roy L J van Wanrooij3
1Department of Gastroenterology and Hepatology, Radboud UMC, Nijmegen, the Netherlands.
Best practice & research. Clinical gastroenterology
|July 25, 2024
概括
在内镜逆行性胆血管瘤学 (ERCP) 和内镜超声波 (EUS) 干预期间的阳性穿孔存在风险. 这些穿孔的早期检测和分类对于及时治疗和改善患者结果至关重要.
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.
背景情况:
- 内镜逆行胆血管细胞造影 (ERCP) 和内镜超声波 (EUS) 是复杂的程序.
- 这些干预措施带有严重的并发症风险,包括阳性穿孔.
研究的目的:
- 审查与胰腺胆道干预相关的阳性穿孔.
- 为了阐明这些穿孔的风险因素,诊断挑战和治疗干预措施.
主要方法:
- 在ERCP和EUS指导干预后对阳性穿孔的文献综述.
- 分析风险因素,诊断方式和治疗策略.
主要成果:
- 阴性穿孔是ERCP和EUS已知的并发症之一.
- 早期识别和分类是成功管理的关键.
- 存在各种治疗干预措施来管理穿孔.
结论:
- 了解风险因素和诊断挑战对于管理阳性穿孔至关重要.
- 及时诊断和适当的治疗显著改善了接受胰腺胆道内镜干预的患者的临床结果.
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