关于使用胆瘤胆镜的临床实践建议:来自共识会议的记录
Jorge Canena1,2,3, Pedro Pereira4, Tiago Bana E Costa5
1Hospital Cuf Tejo, University Center of Gastroenterology, Lisbon, Portugal.
GE Portuguese journal of gastroenterology
|May 28, 2025
概括
单操作员数字胆管透镜有助于诊断不确定的胆管狭窄和治疗困难的结石. 建议在常规方法失败时对特定的胰腺管病变和结石进行胰腺镜检查.
科学领域:
- 胃肠病学 胃肠病学
- 内镜检查是指内镜检查.
- 胆道和胰腺疾病 胆道和胰腺疾病
背景情况:
- 不确定的胆道狭窄 (UBSs) 带来了诊断上的挑战.
- 对于难以治疗胆汁和胰腺结石的传统方法可能不足.
研究的目的:
- 为使用单操作员数字胆管镜 (SOC) 和胰腺镜制定专家建议.
- 为指导胆管狭窄和胰腺/胆管结石的诊断和管理.
主要方法:
- 国家专家的共识会议在胆管镜和胰腺镜有丰富的经验.
- 审查当前的证据和程序结果.
- 制定基于证据的建议.
主要成果:
- 当视觉检查或组织学影响患者管理时,建议在UBS中使用SOC,具有高诊断准确性 (>95%视觉,~70%组织学).
- SOC辅助的石灰管是安全和有效的困难的胆结石,建议在早期治疗算法.
- 胰腺扫描在特定患者群体的胰腺管病变诊断方面具有很高的准确性,对于治疗困难的胰腺结石很有用.
结论:
- SOC是诊断UBS和治疗胆管结石的宝贵工具.
- 胰腺扫描在选择的胰腺管道疾病中提供诊断和治疗的好处.
- 这些建议旨在优化在肝胆和胰腺实践中使用先进的内镜技术.
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