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更新的亚太地区共识声明关于内镜治疗在恶性状胆道阻塞中的作用

Phonthep Angsuwatcharakon^1,2, Santi Kulpatcharapong¹, Alan Chuncharunee³

¹Division of Gastroenterology, Department of Medicine, Faculty of Medicine, Chulalongkorn University and Excellence Center for Gastrointestinal Endoscopy, King Chulalongkorn Memorial Hospital, Bangkok, Thailand.

Endoscopy international open

|September 17, 2024

概括

现在可获得使用内镜治疗恶性胆道阻塞 (MHBO) 的最新指南. 这些建议涵盖诊断,排水策略和管理并发症,帮助医生做出决策.

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.
肝胆道手术肝胆道手术

背景情况:

由于新的内镜证据,2013年亚太地区对状胆瘤管理的共识建议需要更新.
恶性胆管阻塞 (MHBO) 提出了复杂的管理挑战,需要目前的基于证据的指导.

研究的目的:

更新2013年关于MHBO的内镜和干预管理的共识建议.
为优化MHBO治疗策略提供基于证据的陈述和关键概念.

主要方法:

使用PICO框架进行文献审查,以确定新的证据.
通过使用修改后的Delphi方法的专家小组进行匿名投票来制定共识.
对所有陈述的证据质量和建议强度的评估.

主要成果:

建立了七个共识声明和五个关键概念,涵盖诊断,胆道排水和并发症管理.
建议涉及复发性阻塞,支架后胆囊炎和支架前辅助治疗.
确定了缺乏充分支持证据的领域作为关键概念.

结论:

更新的建议为基于内镜的MHBO管理提供了指导.
医生应在多学科团队方法中利用这些建议来为个体患者提供护理.
该共识为改善患有恶性状胆道阻塞的患者的治疗结果提供了一个框架.

关键词:

胆道通道胆道通道关于ERC的主题内镜超声波检查 (Endoscopic ultrasonography) 是一种内镜超声波检查,用于检查内镜超声波.干预欧盟安全服务 (EUS)胰腺胆性疾病 (ERCP/PTCD) 是一种严格的限制严格的限制组织诊断组织诊断

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