胆道的穿孔由内皮质大气球扩张引起:一个病例报告
Yoichiro Sato1, Naoki Okano1, Kensuke Hoshi1
1Department of Gastroenterology and Hepatology Toho University Omori Medical Center Tokyo Japan.
DEN open
|September 26, 2024
概括
内镜大气球扩张有效地去除难以形成的胆道结石,但存在穿孔的风险. 仔细的成像和技术至关重要,以防止这种严重的不良事件.
科学领域:
- 胃肠病学 胃肠病学
- 内镜手术是一种内镜手术.
背景情况:
- 胆汁结石会导致严重的阻塞.
- 大型胆管结石对标准内镜切除提出了挑战.
研究的目的:
- 评估内镜大气球扩张对大胆管结石的有用性.
- 为了突出与此程序相关的潜在并发症.
主要方法:
- 用大气球扩张进行内镜逆行胆血管细胞造影 (ERCP).
- 保守的管理,以鼻排水为穿孔.
主要成果:
- 成功地去除了大胆结石.
- 在气球扩张过程中发生了一例胆道穿孔,需要保守的治疗.
- 计算机断层扫描证实空气自由,表明穿孔.
结论:
- 内镜大气球扩张是管理大或难以移除的胆道结石的宝贵工具.
- 胆管穿孔是一个严重的风险,需要在扩张期间进行手术前的成像和细致的技术.
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