透皮透肝胆囊排水后内镜胆囊支架的好处 透皮透肝胆囊排水后的内镜胆囊支架
Fumitaka Niiya1, Naoki Tamai1, Masataka Yamawaki1
1Division of Gastroenterology, Department of Internal Medicine, Showa University Fujigaoka Hospital, Yokohama 227-8501, Kanagawa, Japan.
World journal of gastrointestinal surgery
|October 1, 2024
概括
经皮穿透肝胆囊排水后的内镜胆囊支架提供了胆囊排水的高成功率和最小的不良事件. 这种综合方法有效地管理胆囊炎,复发率低.
科学领域:
- 胃肠病学 胃肠病学
- 最少侵入性的手术
- 干预性内镜检查是干预性的内镜检查.
背景情况:
- 内透皮胆囊排水由于程序复杂性和高不良事件 (AE) 率而带来了重大挑战.
- 经皮切经肝胆囊排水 (PTGBD) 后的内镜胆囊支架 (EGBS) 通过减少炎症和粘附提供了一个潜在的解决方案.
研究的目的:
- 在PTGBD后评估EGBS的疗效.
- 评估这种综合方法对不良事件 (AE) 的影响.
主要方法:
- 在PTGBD后接受EGBS的35名患者的回顾性分析 (2016年1月 - 2023年12月).
- 主要结果包括技术成功和AE.
- 评估复发性胆囊炎的发病率,并确定程序失败的原因.
主要成果:
- 在PTGBD之后,EGBS的技术成功率为77.1%.
- 在最终的囊性管道对比中,成功率高 (97.1%).
- 早期AE的发病率低 (11.4%),没有囊性通道穿孔.
- 复发性胆囊炎仅在3.7%的患者中观察到,没有其他胆汁事件.
结论:
- 在 PTGBD 之后的 EGBS 显示出显著的好处.
- 综合手术实现了相当大的成功率,短期和长期不良事件最小.
- 这种方法似乎是胆囊排水的安全有效选择.
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