在儿童胰腺胆道干预性内镜超声波的最新进展和当前状态
Shigeto Ishii1, Hiroyuki Isayama1, Mitsuyoshi Suzuki2
1Department of Gastroenterology, Graduate School of Medicine, Juntendo University, Tokyo, Japan.
概括
成人内镜超声波 (EUS) 范围可以用于儿童,但需要仔细监测不良事件. 需要培训计划来提高儿科干预EUS (I-EUS) 技能.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 胃肠内镜检查 胃肠内镜检查
- 医疗成像医学成像
背景情况:
- 内镜超声波 (EUS) 越来越多地被认为是对儿科患者的有用.
- 目前,没有专门的儿科EUS范围可用;使用成人范围.
- 现有的指导方针提供了一些基于患者大小的可行性见解.
研究的目的:
- 评估在儿科患者中使用成人EUS范围的可行性和考虑因素.
- 讨论儿科干预EUS (I-EUS) 的安全性,程序设置和培训需求.
主要方法:
- 关于儿科EUS和I-EUS的当前实践和文献的审查.
- 分析潜在的不良事件和必要的监测协议.
- 程序设置的比较:在手术室的全身麻醉 (GA) 与内镜室的镇静.
主要成果:
- 成人EUS范围可适应儿科使用,需要对食道穿孔和呼吸道损害等风险保持警.
- 大多数干预性胰腺胆内镜设备适合儿童使用.
- 与手术室的GA相比,内镜室的镇静在程序效率和重复性方面具有优势.
- 成年胰腺胆道内镜师经常进行儿科I-EUS,因为儿科内镜师的经验有限.
结论:
- 儿童I-EUS是可行的使用成人设备,并采取适当的预防措施和监测.
- 在某些儿科I-EUS手术中,内镜室内的镇静可能比GA更好.
- 建立专门的培训计划对于推进儿科EUS专业知识和实践至关重要.
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