胆管内镜逆行胆管管瘤细胞造影 胆管内镜逆行胆管瘤细胞造影 胆管内镜逆行胆管瘤细胞造影
Jad P AbiMansour1, John A Martin1
1Division of Gastroenterology and Hepatology, Department of Internal Medicine, Mayo Clinic, Rochester, MN, USA.
Gastroenterology clinics of North America
|November 3, 2024
概括
内镜逆行胆血管细胞造影 (ERCP) 仍然是胆道疾病的至关重要的最小侵入性治疗方法. 虽然诊断用途已经下降,但其治疗应用仍然对各种疾病有很高的需求.
科学领域:
- 胃肠病学 胃肠病学
- 肝病学 肝病学是一种肝病学.
- 内镜手术 进行内镜手术
背景情况:
- 自1968年以来,胆管内镜逆行胆管化图 (ERCP) 已成为管理胆管疾病的基石.
- ERCP是一种微创的技术,用于诊断和治疗良性,恶性和阳性胆道病理.
- 先进的成像技术,如内镜超声波和磁共振胆血管细胞造影,已经在很大程度上取代了ERCP的诊断能力.
研究的目的:
- 审查ERCP的基本原则.
- 概述ERCP程序的常见指示和禁忌.
- 讨论与ERCP相关的潜在不良事件.
主要方法:
- 对ERCP现有的文献和临床指南的审查.
- 综合有关ERCP历史发展和当前应用的信息.
- 编制有关指示,适应症和并发症的数据.
主要成果:
- 由于卓越的成像技术,ERCP的诊断实用性已经减少.
- 治疗ERCP程序继续经常进行,对于管理胆汁疾病至关重要.
- 对临床医生来说,熟悉ERCP原则,说明,禁忌和不良事件至关重要.
结论:
- ERCP已经从一个诊断工具演变为一种主要用于治疗胆道疾病的治疗干预.
- 尽管成像技术取得了进展,但ERCP对于胆道系统的特定治疗干预仍然不可或缺.
- 内镜医生和转诊医生需要全面了解ERCP,以确保安全有效的患者护理.
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