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手术改变解剖学的患者内镜胆道疏通:街头多中心研究

Aurelio Mauro, Giuseppe Vanella, Vincenzo Giorgio Mirante

Gastrointestinal endoscopy

|April 27, 2025

概括

在手术改变解剖学 (SAA) 的患者中,内镜胆道排水 (BD) 仍然具有挑战性. 干预性内镜超声波 (EUS) 显示SAA患者的BD成功率有所提高,并减少了BD的重新干预.

科学领域:

胃肠病学胃肠病学
干预性内镜检查是干预性的内镜检查.
手术瘤学手术瘤学

背景情况:

在手术改变解剖学 (SAA) 的患者内镜胆道疏通 (BD) 提出了独特的挑战.
目前的BD方法没有标准化,依赖于当地专业知识和资源.

研究的目的:

在多个中心探索和比较SAA患者内镜BD的不同方法.
在这个复杂的患者群体中评估各种BD技术的有效性和安全性.

主要方法:

追溯多中心队列研究,包括432名SAA成年患者,在5年内接受内镜BD.
评估结果基于手术重建类型,临床指示和使用的特定内镜BD技术.

主要成果:

总体而言,BD的技术和临床成功率分别为80.3%和79.9%.
比尔罗思II重建与较高的不良事件率 (14.4%) 相关.
与其他技术相比,干预性内镜超声波 (EUS) 显示出显著更高的临床成功率 (OR=7.87) 和较低的再干预率.

结论:

在SAA患者中,BD与不同重建中低于最佳的成功率有关.
越来越多地采用干预性EUS程序,对接受BD的SAA患者显著改善了结果.

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