因胰腺癌而导致的远端胆道阻塞的内镜胆道排水
Masahiro Itonaga1, Masayuki Kitano1
1Second Department of Internal Medicine, Wakayama Medical University, Wakayama City, Japan.
Clinical endoscopy
|September 25, 2024
概括
导致阻塞性黄的胰腺头癌通常需要胆道排水. 透视超声指导胆管排水 (EUS-BD) 提供了一种可行的替代方案,当跨毛囊方法是不可行的,与扩展的指示.
科学领域:
- 胃肠病学 胃肠病学
- 在瘤学瘤学.
- 干预性内镜检查是干预性的内镜检查.
背景情况:
- 胰腺头部癌症经常导致阻塞性黄,导致并发症,阻碍癌症治疗.
- 胆道排水对于治疗阻塞性黄至关重要,内透膜治疗方法是主要的方法.
研究的目的:
- 审查胰腺癌胆汁排水技术的当前情况.
- 强调内镜超声波引导胆管排水 (EUS-BD) 的作用和扩大指示.
主要方法:
- 审查内镜胆道排水技术,包括自扩展金属支架 (SEMS) 和塑料支架.
- 讨论内镜超声波引导胆道排水 (EUS-BD) 技术和结果.
- 分析支架类型 (覆盖,不覆盖,抗反流,直径不同) 及其应用.
主要成果:
- 自扩展金属支架 (SEMS) 是无法切除的瘤的标准,新的变异提供了更好的功能.
- 内透膜疏通是第一选择,但EUS-BD对于不适合这种方法的患者是有效的.
- EUS-BD已经显示出良好的结果,并且越来越多地被用于大量的中心.
结论:
- EUS-BD是胰腺癌患者胆汁排水的安全有效替代品,当通过皮膜通道无法实现时.
- 在EUS-BD技术和专用支架的进步正在扩大其临床应用.
- 预计EUS-BD在治疗恶性胆道阻塞中的作用将会越来越大.
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