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在ERCP后预防性胰腺支架的延迟清除的频率和预测因素
Joshua Martin1, Aisel Alikhanova1, Wichit Srikureja1
1Division of Gastroenterology, Loma Linda University Health, Loma Linda, California, USA.
Gastrointestinal endoscopy
|March 22, 2025
概括
只有一半的患者在ERCP的四周内移除了预防性胰腺支架 (PSs). 胆汁支架的放置和内镜因素影响了PS的及时清除,影响了患者的结果.
科学领域:
- 胃肠病学 胃肠病学
- 内镜手术 进行内镜手术
- 医疗器械管理 医疗器械管理
背景情况:
- 在ERCP期间使用预防性胰腺支架 (PSs).
- 临床上建议及时评估和去除PS.
- 延迟PS清除可能导致并发症.
研究的目的:
- 确定ERCP后及时PS清除 (≤4周) 的患者比例.
- 为了确定与延迟PS清除相关的因素.
主要方法:
- 对接受ERCP并安置PS的患者的回顾性分析 (2014年5月至2022年10月).
- 主要终点:PS清除在4周内,通过放射学或内镜确认.
- 多变量分析以评估内镜师,患者和手术相关因素.
主要成果:
- 262名患者接受了预防性PS (5.5%的4724个ERCP).
- 在52%的患者中,4周内发生PS清除.
- 胆管支架放置率 (aOR 0.5) 和内镜清除率与及时的PS清除率有显著的关联.
结论:
- 在ERCP后,不到一半的患者实现了及时的预防性PS清除.
- 内镜师的表现和并发的胆管支架放置是影响PS清除的关键因素.
- 可能需要进一步的策略来优化PS管理.
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