用内镜超声波引导的胆囊排水用于急性胆囊炎
Jacquelyn Chi Ying Fok1, Anthony Yuen Bun Teoh1,2, Shannon Melissa Chan1
1Department of Surgery, The Chinese University of Hong Kong, Shatin, New Territories, Hong Kong.
概括
透视超声引导胆囊排水 (EUS-GBD) 为急性胆囊炎提供了一个有希望的替代方案,其不良反应比其他方法少. 本综述涵盖了EUS-GBD技术,结果和扩展应用.
科学领域:
- 胃肠病学 胃肠病学
- 最少侵入性手术的方法
背景情况:
- 传统上,急性胆囊炎的治疗包括手术或皮肤间排水.
- 内镜超声波的进步使内镜超声波引导胆囊排水 (EUS-GBD) 成为可能.
研究的目的:
- 审查关于内镜超声波引导胆囊排水 (EUS-GBD) 的最新证据.
- 讨论EUS-GBD的指示,技术,成果和新兴应用.
主要方法:
- 对EUS-GBD.最近的研究进行了全面的文献综述.
- 分析技术方面,包括穿孔方法和支架选择.
- 评估结果并与其他排水方法进行比较.
主要成果:
- 与穿皮和穿皮膜排水相比,EUS-GBD显示了潜在较低的不良事件和再干预率.
- 越来越多的人对技术的改进感兴趣,并将其应用于外科候选人.
结论:
- EUS-GBD是一种不断发展的,有效的急性胆囊炎治疗方法,特别是在非手术候选人中.
- 对最佳技术和长期管理的进一步研究是有必要的.
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