非镇静的新兴ERCP是可行的,有效的急性胆道炎在老年患者80岁以上的年龄
Jia-Qi Xu1,2, Yi-Fan Qu1,2, Zhao-Chao Zhang1,2
1Endoscopy Center and Endoscopy Research Institute, Zhongshan Hospital, Fudan University, Shanghai, China.
Surgical endoscopy
|March 15, 2025
概括
无静止的新兴内镜逆行性胆道管细胞造影 (ERCP) 是可行的急性胆道炎在80岁以上的患者. 这种程序提供了高效的胆管减压与良好的安全性,虽然需要进一步的研究.
科学领域:
- 胃肠病学 胃肠病学
- 老年医学 老年医学
- 干预性内镜检查是干预性的内镜检查.
背景情况:
- 由于并发症,急性胆道炎在老年患者中带来了挑战.
- 及时干预对于在这个人口群体中管理急性胆道炎至关重要.
研究的目的:
- 评估未经定位的新兴内镜逆行胆血管细胞造影 (ERCP) 的可行性和效率.
- 评估80岁及以上患有急性胆道炎的患者的该程序的安全性和结果.
主要方法:
- 追溯分析80岁或以上的急性胆结炎患者,接受未治疗的新兴ERCP.
- 收集的数据包括临床特征,手术成功,不良事件,住院和死亡率.
主要成果:
- 在老年患者中,92.7%的未经治疗的ERCP程序是成功的.
- 成功的ERCP与显著更短的住院时间有关.
- 轻度ERCP后胰腺炎发生在3.1%的患者中;22.7%的患者在6个月内出现复发.
结论:
- 非镇静的新兴ERCP是80岁以上患者急性胆道炎的可行管理选择.
- 该程序证明了有效的胆管减压和可接受的安全性.
- 建议进行前性研究,以验证发现并优化对这一群体的护理.
相关概念视频
Endoscopic Procedures V: ERCP
53
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...
53
Chronic Pancreatitis II: Collaborative Care
54
The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
Assessment:
54
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
38
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...
38
Esophageal Varices-II: Clinical Features and Management
33
Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
33


