一项回顾性研究,比较EUS-BD和ERCP-BD在恶性胆道和十二指管阻塞患者的十二指管支架放置后
Mitsuru Sugimoto1, Tadayuki Takagi1, Rei Suzuki1
1Department of Gastroenterology, School of Medicine, Fukushima Medical University, Fukushima, Japan.
概括
在恶性胆道和十二指甲膜阻塞患者中,内逆向胆道瘤学引导胆道排水 (ERCP-BD) 和EUS引导胆道排水 (EUS-BD) 显示出与复发胆道阻塞相似的时间. EUS-BD提供了更高的技术成功率.
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.
- 在瘤学瘤学.
背景情况:
- 恶性胆管和十二指肠阻塞 (MBDO) 通常需要双重支架.
- 在延长到复发性胆道阻塞 (TRBO) 的时间方面,ERCP引导胆道排水 (ERCP-BD) 与EUS引导胆道排水 (EUS-BD) 的比较疗效尚不清楚.
研究的目的:
- 为了比较ERCP-BD和EUS-BD在延长MBDO患者TRBO的疗效.
- 评估与每个程序相关的其他临床结果.
主要方法:
- 一项对接受ERCP-BD或EUS-BD的MBDO患者进行比较研究.
- 倾向性得分匹配被用来平衡两个组之间的患者特征.
- 关键的结果指标包括TRBO和技术成功率.
主要成果:
- 与ERCP-BD (61.5%) 相比,EUS-BD的技术成功率显著高 (100%).
- 在倾向分数匹配 (17对) 后,ERCP-BD (62天) 和EUS-BD (68天) 之间的TRBO没有发现显著差异.
结论:
- 十二指管支架后的TRBO是ERCP-BD和EUS-BD之间可比的.
- EUS-BD表现出卓越的技术成功,这表明它可能是MBDO患者首选的内镜胆汁排水方法.
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