相关实验视频

Updated: Sep 20, 2025

Laparoscopic Common Bile Duct Exploration Followed by Primary Suture Using a Modified Bile Duct Incision

Laparoscopic Common Bile Duct Exploration Followed by Primary Suture Using a Modified Bile Duct Incision

Published on: May 2, 2025

在不确定的胆管狭窄症中,胆管镜导向的咬咬 (-咬咬) 活检的价值

David M de Jong¹, Pieter Jan F de Jonge¹, Pauline M C Stassen¹

¹Department of Gastroenterology and Hepatology, Erasmus MC University Medical Center, Rotterdam, The Netherlands.

|May 23, 2025

概括

咬对咬活检 (BBB) 与数字单操作员胆管镜检 (dSOC) 中的标准单次活检相比,对无限期胆道狭窄 (IBDS) 的诊断准确度没有提高. 之前的干预措施,如支架安置,降低了诊断产量.

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.
肝胆道医学肝胆道医学

背景情况:

数字单操作者胆管透镜 (dSOC) 通过向活检增强了不确定的胆道狭窄 (IBDS) 的诊断.
在dSOC期间IBDS的最佳活检技术仍未确定.

研究的目的:

在接受dSOC的IBDS患者中,比较单次活检与咬对咬活检 (BBB) 的诊断准确性.
评估影响诊断产量的因素,包括先前的干预措施.

主要方法:

一项国际,多中心,前性研究包括了89名接受dSOC的IBDS患者.
所有患者都接受了至少四次单一活检和一个BBB.
通过病理学和1年的随访证实了诊断;这两种技术的准确性是主要结果.

主要成果:

单次活检的技术成功率为92.1%,BBB.的技术成功率为87.6%.
恶性病症在62.2%的患者中得到证实,随着完整的随访.
对于这两种技术,恶性瘤/高度形的诊断准确性相似 (78.8%单一 vs 77.6% BBB);之前的支架放置或ERCP组织获取降低了产量.

结论:

咬对咬活检 (BBB) 与不确定胆道狭窄症 (IBDS) 至少四次单次活检相比没有更高的诊断准确性.
在ERCP期间先前的干预措施,如支架安置或组织采集,显著降低了dSOC活检的诊断产量.

更多相关视频

Application of Laparoscopic Ultrasonography in Primary Choledochal Suture during Combined Two-lens Surgery

Application of Laparoscopic Ultrasonography in Primary Choledochal Suture during Combined Two-lens Surgery

Published on: March 28, 2025

Laparoscopic Common Bile Duct Exploration in Patients with a Previous History of Biliary Tract Surgery

Laparoscopic Common Bile Duct Exploration in Patients with a Previous History of Biliary Tract Surgery

Published on: February 10, 2023

相关概念视频

Endoscopic Procedures V: ERCP

Endoscopic Procedures V: ERCP

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...

Chronic Bowel Disorders: Introduction

Chronic Bowel Disorders: Introduction

Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...