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在二次十二指肠镜切除十二指肠曲胆道支架期间进行胆内清洁:一项回顾性队列研究

Hong-Lei Zhang¹, Cheng Zhang¹, Chen Qiu¹

¹Center for Gallbladder Diseases, Shanghai East Hospital Affiliated with Tongji University and Institute of Gallbladder Diseases of Tongji University School of Medicine, Shanghai 200120, China.

World journal of gastrointestinal surgery

|December 8, 2025

概括

双胞胎曲胆道支架在切除过程中增加了胆囊反流和常见胆道结石 (CBDS) 的风险. 胆内清洗是安全的,并建议这些程序,以减轻并发症.

科学领域:

胃肠病学胃肠病学
内镜手术是一种内镜手术.
胆道干预措施胆道干预

背景情况:

胆汁支架的安置和切除是常见的程序.
风险包括胆囊吐和残留的常见胆道结石 (CBDS).
在二次内镜切除支架时,需要进行胆道内清洗.

研究的目的:

在十二指肠曲胆道支架 (DBBSG) 和单个猪尾支架之间比较血淋反流和CBDS发病率.
评估二次十二指镜支架切除期间胆道内清洗的安全性.

主要方法:

包括554名接受二次十二指管镜检查的患者,用于切除胆管支架,并进行胆管内清洗.
患者被分为单个猪尾胆汁支架和十二指甲曲胆汁支架 (DBBSG) 组.
考克斯的比例危险模型被用来比较菌反流和CBDS的发生.

主要成果:

与单个猪尾支架相比,DBBSG显示出显著更高的菌反流率 (23.27%vs9.65%) 和CBDS (42.77%vs21.05%).
两组之间在不良反应或严重事件中没有显著差异.
对于DBBSG患者来说,皮质逆流 (HR=2.793) 和CBDS (HR=2.475) 的风险增加.

结论:

十二指肠曲胆道支架与菌逆流和CBDS的风险增加有关.
在切除支架时的胆道内清洁是安全的,并且得到了验证.
内镜医生应在十二指肠曲胆管支架切除过程中进行胆管内清洁.

关键词:

在内镜逆行性胆血管细胞造影术后的不良反应胆管支架是一种胆管支架.常见的胆管结石胆管结石内镜逆行性胆血管造机图 (cholangiopancreatography) 是一种内镜逆行式胆血管造机图.肠胆道逆流是什么意思胆道内清洗胆道内清洗

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