对于远距离恶性胆道阻塞的内镜超声导向胆道管口术后的再干预
Suprabhat Giri1, Bhavik Shah2,3, Jimmy Narayan4
1Department of Gastroenterology and Hepatology, Kalinga Institute of Medical Sciences.
概括
在内镜超声波导向胆固醇双管切除术 (EUS-CDS) 后,在8.4%的病例中需要重新干预. 同轴支架与十二指支架的缺失预测了重新干预,影响了恶性胆道阻塞的管理.
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.
- 胆汁干预 胆汁干预
背景情况:
- 以内镜超声波 (EUS) 为指导的胆固醇二管切除术 (CDS) 用于恶性胆道阻塞.
- 影响EUS-CDS后重新干预的因素需要进一步调查.
研究的目的:
- 为了确定EUS-CDS.后重新干预的发生率.
- 在患有恶性胆道阻塞的患者中确定重新干预的预测因素.
主要方法:
- 在印度8个三级保健中心对134名接受EUS-CDS治疗的患者进行了回顾性分析.
- 主要结果:针对支架迁移或阻塞的重新干预. 二级结局:临床成功,不良事件.
- 多变量后勤回归分析以确定重新干预的独立预测因素.
主要成果:
- 技术上的成功 (97.8%) 和临床上的成功 (93.9%) 都很高.
- 在平均20周的随访期间,8.4%的病例需要重新干预.
- 呈现时的胆管炎和同轴/双轴支架的缺失预测了重新干预 (ORs 6.26-10.15).
结论:
- 在EUS-CDS之后,大约8.4%的患者需要重新干预.
- 同时配备十二指肠支架的同轴支架的缺失是重新干预的重要预测因素.
相关概念视频
Endoscopic Procedures V: ERCP
125
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...
125
Peptic Ulcer Disease V: Surgical Management and Nursing Care
238
Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease
Surgical Interventions for Peptic Ulcer Disease
238
Endoscopic Procedures I: Esophagogastroduodenoscopy
73
An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
During an EGD, the endoscope can be used to:
73
Chronic Pancreatitis II: Collaborative Care
70
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:
70
Chronic Bowel Disorders: Introduction
408
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...
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...
408


