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以内镜超声波为指导的胆管干预措施

Deepak Madhu¹, Vinay Dhir²

¹Department of Gastroenterology, Caritas Hospital, Kottayam, 686 630, India.

Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology

|September 11, 2024

概括

以内镜超声波 (EUS) 引导的胆管排水 (EUS-BD) 为恶性胆管阻塞提供了ERCP的有效替代方案. 尽管存在诸如的学习曲线等挑战,但EUS-BD技术正在演变为初级干预措施.

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) 是胆道排水的标准,但可能会失败.
以内镜超声波 (EUS) 引导的胆管排水 (EUS-BD) 程序成为ERCP失败的救援选择.
EUS-BD技术已经进步,成为特定胆管阻塞的第一线选择.

研究的目的:

审查各种EUS-BD程序.
详细说明EUS-BD的指示,技术,结果和后续行动.

主要方法:

审查有关EUS-BD程序的现有文献.
综合了关于EUS指导肝胃口术 (EUS-HGS),EUS指导胆管胃口术 (EUS-CDS),EUS指导胆囊排水 (EUS-GBD),EUS指导前层支架 (EUS-AG) 和EUS指导约会 (EUS-RV) 的信息.

主要成果:

在随机试验中,EUS-BD,特别是EUS-CDS,在恶性胆道阻塞方面显示了与ERCP相似或优于ERCP的结果.
透光排水 (EUS-HGS,EUS-CDS,EUS-GBD) 和透膜排水 (EUS-AG) 是EUS-BD的主要方法.
当道失效时,EUS-RV可以促进ERCP.

结论:

在胆道排水方面,EUS-BD程序是有效的,包括在恶性阻塞中.
专业知识要求,学习曲线,标准化问题和成本阻碍了广泛采用.
需要进一步的研究和标准化,以优化EUS-BD的使用.

关键词:

用内镜超声波引导的胆道排水.通过内镜超声波引导的胆固醇二氧化碳骨干切开术.内镜超声波引导的胆囊排水胆囊排水以内镜超声波为指导的肝胃胃术.干预性内镜超声波进行.恶性胆道阻塞恶性胆道阻塞

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