在不同类型的全胃切除和部分胃切除的患者中进行内镜逆行胆血管细胞切除
F Fortunati1, L Monino1, P Deprez1
1Cliniques universitaires Saint-Luc, Gastroenterology and Hepatology, Brussels, Belgium.
Acta gastro-enterologica Belgica
|February 17, 2025
概括
在经过手术改变胃解剖 (SAGA) 患者的内镜逆行性胆道管化图 (ERCP) 是具有挑战性的. 与比尔罗特II胃切除术,袖子胃切除术和胃结节术相比,Roux-en-Y重建的技术成功率较低.
科学领域:
- 胃肠病学 胃肠病学
- 内镜检查是指内镜检查.
- 手术解剖学手术解剖学
背景情况:
- 内镜逆行胆血管细胞造影 (ERCP) 在手术改变胃解剖 (SAGA) 的患者中具有技术要求.
- 这项研究侧重于ERCP手术的患者,这些患者经历了各种胃外科手术,同时保持了父亲的乳头.
研究的目的:
- 分析ERCP在手术改变胃解剖 (SAGA) 患者的结果.
- 在不同类型的胃重建中比较ERCP的技术成功率和不良事件率.
主要方法:
- 对一个潜在的ERCP队列进行了单心回顾性分析.
- 分析了从2006年至2024年间接受SAGA治疗的110名患者 (186次手术) 的数据.
主要成果:
- 在SAGA患者中ERCP的整体技术成功率为82%.
- 与比尔罗斯II胃切除术 (92%),袖子胃切除术 (100%) 和胃切除术 (57-100%) 相比,Roux-en-Y重建 (全胃切除术/部分胃切除术) 的技术成功率较低 (73%).
- 不良事件发生率 (7%) 与正常解剖患者的不良事件发生率相当.
结论:
- 在SAGA患者的ERCP具有挑战性,需要专门的内镜技术和设备.
- 与其他胃外科手术相比,Roux-en-Y重建对ERCP具有更大的技术困难.
- 尽管存在挑战,但SAGA患者的ERCP可以在适当的管理下获得可接受的结果.
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