在手术改变解剖学中的胰腺胆道疾病的治疗中,内超声导向的胃外ERCP和内超声导向的肠外ERCP的现状和未来方向:综合性综述
Giuseppe Dell'Anna1,2,3, Angelo Bruni4, Jacopo Fanizza5,6
1Gastroenterology and Gastrointestinal Endoscopy Division, IRCCS San Raffaele Hospital, Via Olgettina 60, Milan 20132, Italy.
Therapeutic advances in gastroenterology
|September 3, 2025
概括
通过内镜超声波指导的胃外 (EDGE) 和肠外 (EDEE) 逆流胆道瘤学可为改变解剖的患者提供最小侵入性胆道接入. 这些技术显示出高成功率和低并发症率,为传统方法提供了可行的替代方案.
科学领域:
- 胃肠病学和治疗内镜
- 最少侵入性胆道干预
背景情况:
- 在经过手术改变胃肠解剖的患者 (例如,Roux-en-Y胃绕道) 中,传统的内逆向胆道血管造膜学 (ERCP) 是具有挑战性的.
- 对于这些患者来说,已有的外科手术或皮肤透方法可能与显著的发病率有关.
研究的目的:
- 审查内超声导向跨胃 (EDGE) 和跨肠 (EDEE) ERCP的技术方面,临床结果和安全性.
- 突出EDGE和EDEE作为复杂解剖学中的胆道接入的创新解决方案.
主要方法:
- 对EDGE和EDEE程序进行全面的文献搜索.
- 分析技术细微差别,程序成功率和并发症发生率.
- 对支架技术和综合治疗方式的进步进行审查.
主要成果:
- EDGE和EDEE的成功率很高,并发症发生率很低.
- 这些内镜技术的安全性和有效性得到了提高.
- 这些方法为传统的外科手术和穿皮手术提供了有效的替代方案.
结论:
- 在经过手术改变肠道解剖的患者中,EDGE和EDEE是安全有效的微创手术.
- 技术的进步不断完善这些程序, 扩大他们的治疗应用.
- 需要进一步的多中心试验来建立标准化方案并确认长期的疗效.
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