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难以进行胆管通道的内镜超声波引导的约会技术:技术审查

Takuji Iwashita¹, Shinya Uemura¹, Ryuichi Tezuka¹

¹First Department of Internal Medicine, Gifu University Hospital, Gifu, Japan.

Digestive endoscopy : official journal of the Japan Gastroenterological Endoscopy Society

|August 28, 2024

概括

在标准ERCP胆道管失效时,内镜超声导向约会 (EUS-RV) 是一个关键的救援技术. 本综述详细介绍了EUS-RV的技术,结果和胆道疾病的安全性.

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.
胆道疾病胆道疾病

背景情况:

内镜逆行胆血管细胞造影 (ERCP) 是胆道疾病的标准.
在ERCP期间选择性胆道管可以由于解剖学或技术问题而失败.
内镜超声波导向约会 (EUS-RV) 作为一个关键的救援方法.

研究的目的:

审查EUS-RV技术的临床结果和技术考虑.
为优化EUS-RV的成功率和安全提供见解.
总结目前关于EUS-RV难以进入胆道的证据.

主要方法:

关于EUS-RV在胆道疾病管理中的综合文献综述.
分析程序步骤,技术提示和故障排除策略.
评估报告的临床结果和不良事件.

主要成果:

EUS-RV证明了作为ERCP输入管失败的救援技术的宝贵作用.
了解特定的技术和潜在的困难可以提高EUS-RV的成功.
意识到与胆道穿刺相关的不良事件对于安全至关重要.

结论:

在ERCP失败时,EUS-RV是实现胆道接入的有效替代方案.
对临床医生来说,掌握EUS-RV技术和安全协议是必不可少的.
进一步的证据支持EUS-RV作为管理复杂胆汁疾病的重要工具.

关键词:

道化 (cannulation) 是一种对道进行道化的方法.双向导线的导线是双向导线.内镜逆行性胆血管造机图 (cholangiopancreatography) 是一种内镜逆行式胆血管造机图.通过内镜超声波引导的胆道排水.预剪切的预剪切的

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