评估土耳其儿童内镜逆行胆血管细胞造影的评估
Gül Çirkin1, Mesut Akarsu2, Yesim Öztürk1
1Division of Pediatrics, Department of Pediatric Gastroenterology Hepatology and Nutrition, Dokuz Eylul University Faculty of Medicine, Izmir, Turkey.
Medicine
|February 19, 2025
概括
内镜逆行胆血管瘤造影 (ERCP) 对于儿科患者来说是安全有效的,胆道问题和胰腺炎的成功率很高. 专用设备可以进一步改善结果.
科学领域:
- 胃肠病学 胃肠病学
- 儿科内镜术 儿科内镜术
背景情况:
- 在儿科患者中评估ERCP的指示,疗效和安全性.
- 这项研究于2017年至2021年在土耳其的一个中心进行.
研究的目的:
- 评估ERCP在儿童中的有效性和安全性.
- 确定儿科病例中ERCP的常见症状和并发症.
主要方法:
- 在50名儿科患者 (年龄1-18岁) 进行65次ERCP手术的回顾性审查.
- 数据收集包括人口统计数据,指示,程序细节,成功率和并发症.
- 在有意识的镇静下使用治疗性十二指镜进行的手术.
主要成果:
- 主要适应症是胆固醇胆病 (52.3%) 和慢性胰腺炎 (18.5%).
- 整体管成功率为92.3%,经常需要干预.
- 在ERCP后的胰腺炎发生在6.1%的病例中 (中度严重);没有报告死亡事件.
结论:
- 在儿科患者中,ERCP是有效和安全的,特别是在协作护理中.
- 由于缺乏专门用于儿科的设备,存在技术挑战.
- 突出了土耳其需要专门的儿科ERCP设备和集中设施的需求.
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