内镜胆囊排水 EUS LAMS与ERCP 跨毛囊排水
Maham Hayat1, Yasi Xiao1, Mustafa A Arain1
1Center for Interventional Endoscopy, AdventHealth, 601 E Rollins St, Orlando, FL, 32803, USA.
Current gastroenterology reports
|November 16, 2024
概括
透视胆囊排水为非手术患者的急性胆囊炎提供了穿皮排水的安全有效替代方案. 像内透皮胆囊排水和EUS引导胆囊排水等技术可以改善结果和生活质量.
科学领域:
- 胃肠病学 胃肠病学
- 最少侵入性的手术
- 内镜检查是指内镜检查.
背景情况:
- 急性胆囊炎需要胆囊排水,胆囊切除术是手术候选人的标准.
- 穿皮胆囊静止术 (PTC-GBD) 是非手术患者的传统排水方法.
- 内镜技术已经成为PTC-GBD的可行的替代方案.
研究的目的:
- 对非手术候选人的急性胆囊炎进行内镜胆囊排水的作用进行审查.
- 描述内镜胆囊排水的技术方面,临床结果和选择标准.
- 将内镜方法与传统方法进行比较.
主要方法:
- 审查关于内镜胆囊排水技术的当前文献.
- 讨论内透皮胆囊排水 (ET-GBD) 和内超声波引导胆囊排水 (EUS-GBD).
- 通过皮肤胆囊管切除术 (PTC-GBD) 的结局和生活质量的比较.
主要成果:
- ET-GBD和EUS-GBD是PTC-GBD的有效和安全替代品.
- 内镜方法证明患者的生活质量有所改善,与皮肤穿方法相比.
- 越来越多的证据支持内镜胆囊排水的有效性和安全性.
结论:
- 透视胆囊排水是急性胆囊炎的非手术患者的一个有价值的选择.
- 选择内镜技术应根据临床情景和内镜医生的偏好进行个性化选择.
- 建议采用多学科的方法,以实现最佳的患者管理.
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