被遗忘的胆管塑料支架:并发症,管理和临床结果
Mohamed A Elsebaey1, Mohamed Elsayed Enaba1, Heba Elashry2
1Internal Medicine Department, Faculty of Medicine, Tanta University, Tanta 31527, Egypt.
Medicina (Kaunas, Lithuania)
|August 29, 2024
概括
被遗忘的胆汁支架,内置超过一年,导致明显更高的并发症率和医疗保健利用率的增加. 不遵守移除时间表是主要原因,尽管内镜管理仍然非常成功.
科学领域:
- 胃肠病学 胃肠病学
- 内镜手术是一种内镜手术.
- 胆道疾病 胆道疾病
背景情况:
- 内镜胆道塑料支架是对良性胆道疾病的标准治疗方法.
- 被遗忘的胆管支架,内存超过一年,往往被低估.
- 现有的关于被遗忘的支架的数据主要来自病例报告.
研究的目的:
- 为了确定与被遗忘的胆管塑料支架相关的并发症.
- 评估被遗忘的胆管支架的管理策略.
- 评估患者在遗忘胆管支架的管理后的临床结果.
主要方法:
- 从2021年1月到2023年12月,在三家医院进行了回顾性研究.
- 包括577名带有胆管塑料支架的患者,分为早期移除 (3个月内) 和遗忘支架 (1年后取回) 组.
- 评估了与支架相关的并发症,内镜治疗的成功和临床结果.
主要成果:
- 与提前切除相比,被遗忘的胆管支架与明显更高的并发症,内镜检查和住院率有关.
- 无法恢复的常见胆道结石是两组人群中支架的主要征兆.
- 所有患者都取得了成功的内镜治疗,没有死亡率.
结论:
- 不遵守内镜指令是保持超过一年的胆汁支架的主要原因.
- 被遗忘支架的患者经历了更高的并发症率和医疗保健资源利用率的增加.
- 被遗忘的胆管支架的内镜治疗非常有效,技术成功率为100%.
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