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强迫器辅助内镜刚性增强,用于由于级联胃的原因而难以进行十二指肠输管
Nobutaka Doba1, Kosuke Shibayama1, Shinzo Abe1
1Department of Gastroenterology, Yokosuka City Hospital, Nagasaka, Yokosuka, Japan.
ACG case reports journal
|October 15, 2025
概括
在内镜逆行性胆管松造影 (ERCP) 过程中遇到的困难可以通过使用子来增加内镜刚度来克服. 这种简单的,无设备的技术促进了十二指管内管治疗胆道结石的方法.
科学领域:
- 胃肠病学 胃肠病学
- 内镜手术 进行内镜手术
背景情况:
- 内镜逆行胆血管细胞谱 (ERCP) 对于治疗胆道和胰腺疾病至关重要.
- 十二指管管道输液在患有诸如布胃等解剖学变异的患者中可能具有挑战性.
- 在困难的情况下,标准的ERCP机动可能无法实现十二指肠接入.
研究的目的:
- 描述一种新的技术,以促进ERCP期间的十二指管内输管.
- 在具有挑战性的ERCP案例中评估子辅助刚性增强的有效性.
主要方法:
- 一名92岁的女性患者患有急性胆囊炎和胆道结石,在ERCP期间出现了十二指肠输管困难.
- 通过内镜的辅助通道插入子来增强刚性,最大限度地减少镜片循环.
- 这种技术被用来实现成功的十二指肠接入和随后的ERCP程序.
主要成果:
- 按辅助的刚性增强技术使得十二指管内输管能够快速进行 (在2分钟内).
- 取得了成功的胆道管,管切割和排水.
- 该方法在两个独立的ERCP程序中被证明是有效的.
结论:
- 强力ps辅助刚性强化是一种简单而有效的策略,用于克服ERCP中的十二指管管道输液挑战.
- 这种无设备的方法在没有标准技术和专用设备的情况下提供了切实可行的解决方案.
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