在EUS引导胆囊排水后间隔胆囊切除术的结果:系统性审查和元分析
Suchapa Arayakarnkul1, Jacquelin Blomker1, Amir Sultan Seid1
1Department of Medicine, University of Minnesota, Minneapolis, Minnesota, USA.
Gastrointestinal endoscopy
|March 2, 2025
概括
在内镜超声波引导胆囊排水 (EUS-GBD) 后的间隔胆囊切除术 (CCY) 是技术上可行的和安全的. 这种方法为最初不适合手术的患者提供了可行的选择,成功率为32.9%.
科学领域:
- 胃肠病学 胃肠病学
- 手术瘤学手术瘤学
- 医疗技术 医疗技术 医学技术
背景情况:
- 胆囊切除术 (CCY) 是急性胆囊炎 (AC) 的标准治疗方法.
- 透视式超声导向胆囊排水 (EUS-GBD) 作为不适合手术的患者的替代方案.
- 在EUS-GBD之后的CCY间隔通常会被避免,因为形成的技术复杂性增加了.
研究的目的:
- 在EUS-GBD.之后系统地审查和元分析间隔CCY的结果.
- 评估在EUS-GBD之后与间隔CCY相关的技术成功和不良事件.
主要方法:
- 在多个电子数据库中进行了全面的文献搜索.
- 包括在内的研究报告了在EUS-GBD之后的间隔CCY结果.
- 用随机效应模型对比例进行了元分析,以汇集技术成功,手术技术和不良事件的数据.
主要成果:
- 分析了15项涉及707名患者的研究.
- 对于间隔CCY的技术成功率是32.9%.
- 腹腔镜CCY在76.2%的病例中进行,其转换率为14%的开放CCY. 总体不良事件为13.2%,没有报告的死亡率.
结论:
- 在EUS-GBD之后,间隔CCY在技术上是可行的和安全的.
- 在可能以后成为手术候选人的患者中,应考虑使用内镜超声波引导的胆囊排水.
- 在潜在的外科候选人之前,建议在EUS-GBD之前咨询当地外科专家.
相关概念视频
Endoscopic Procedures V: ERCP
54
Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
Patient...
54
Appendicitis-II: Diagnostic Studies and Management
56
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
56
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
39
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
39
Endoscopic Procedures II: Colonoscopy
41
The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:
41
Endoscopic Procedures III: Video Capsule Endoscopy
66
Capsule endoscopy, or wireless or video capsule endoscopy, is a diagnostic procedure for examining the entire gastrointestinal tract. Patients swallow a capsule about the size of a vitamin tablet. The capsule is equipped with a transmitter, a battery, an LED light source, and a color video camera to capture images throughout the gastrointestinal tract. This procedure is particularly useful for diagnosing conditions such as Crohn's disease, ulcerative colitis, tumors, polyps, ulcers,...
66
Peptic Ulcer Disease V: Surgical Management and Nursing Care
193
Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease
Surgical Interventions for Peptic Ulcer Disease
193

