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欧洲共识推使用修改后的德尔菲过程进行直接胆管镜和胰腺镜检查

Enrico Palmeri^1,2, Sebastian Stefanovic³, Emine Gökce¹

¹Department of Gastroenterology and Hepatology, Universitair Ziekenhuis Gent, Ghent, Belgium.

United European gastroenterology journal

|October 21, 2025

概括

这项研究制定了欧洲对直接胆血管镜和胰腺镜的共识建议. 这些指导方针旨在规范这些内镜技术的使用,以诊断和治疗胰腺胆道疾病.

科学领域:

胃肠病学胃肠病学
内镜检查是指内镜检查.

背景情况:

直接胆管镜和胰腺镜越来越多地用于胰腺胆道疾病.
需要标准化的指导方针来优化它们的临床应用.

研究的目的:

制定关于胆管镜和胰腺镜的一般和特定指示的欧洲共识建议.
为使用这些先进的内镜手术的临床医生提供基于证据的指导.

主要方法:

采用了经过修改的Delphi过程,涉及30名专家.
声明是根据文献审查和专家共识制定的.
用GRADE方法来确定证据水平.

主要成果:

42个共识声明被接受,达成97.6%的同意.
很快就达成了高度的共识,在第一轮中接受了92.9%.
建议涵盖程序前,技术,石头,缩和其他指示.

结论:

成功制定了胆血管镜和胰腺镜的共识建议.
这些指导方针将有助于在临床实践中一致有效地应用这些技术.

关键词:

在CBD石头.在 ERCP 中,ERCP 已成为 ERCP 的核心.胆透镜检查是一种胆透镜检查.通过内镜检查 (endoscopy) 进行内镜检查胰腺显微镜 (pancreatoscopy) 是一种检查胰腺的方法

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