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相关概念视频

Endoscopic Procedures V: ERCP01:26

Endoscopic Procedures V: ERCP

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Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
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Endoscopic Procedures I: Esophagogastroduodenoscopy01:29

Endoscopic Procedures I: Esophagogastroduodenoscopy

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An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
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Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

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Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
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Endoscopic Procedures II: Colonoscopy01:25

Endoscopic Procedures II: Colonoscopy

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The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:
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Endoscopic Procedures III: Video Capsule Endoscopy01:28

Endoscopic Procedures III: Video Capsule Endoscopy

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Capsule endoscopy, or wireless or video capsule endoscopy, is a diagnostic procedure for examining the entire gastrointestinal tract. Patients swallow a capsule about the size of a vitamin tablet. The capsule is equipped with a transmitter, a battery, an LED light source, and a color video camera to capture images throughout the gastrointestinal tract. This procedure is particularly useful for diagnosing conditions such as Crohn's disease, ulcerative colitis, tumors, polyps, ulcers,...
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Chronic Pancreatitis II: Collaborative Care01:29

Chronic Pancreatitis II: Collaborative Care

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The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
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相关实验视频

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A Two-Step Method for Percutaneous Transhepatic Choledochoscopic Lithotomy
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A Two-Step Method for Percutaneous Transhepatic Choledochoscopic Lithotomy

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腔胆管透视的临床实践指南

Kazumasa Nagai1, Akio Katanuma2, Shomei Ryozawa3

  • 1Department of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan.

Journal of hepato-biliary-pancreatic sciences
|December 16, 2025
PubMed
概括

日本胆道协会为口腔胆道透视 (POCS) 制定了基于证据的指导方针,以标准化其在日本诊断和治疗胆道疾病中的使用.

关键词:
胆道狭窄 胆道狭窄 是一种疾病.胆管镜指导的石化三术.临床实践指南 临床实践指南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.口腔胆管镜检查 (POCS) 是一种口腔胆管镜检查.

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科学领域:

  • 胃肠病学 胃肠病学
  • 内镜检查是指内镜检查.
  • 胆道疾病 胆道疾病

背景情况:

  • 口腔胆道透视 (POCS) 是胆道疾病的关键内镜工具.
  • 在此之前,日本没有针对POCS的标准化临床实践指南.

研究的目的:

  • 制定基于证据的指导方针,以便在日本安全有效地实施POCS.
  • 为POCS程序和管理提供标准化的框架.

主要方法:

  • 一个多学科委员会在六个领域提出了31个问题.
  • 建议是基于系统的文献审查和专家共识,遵循Minds 2020方法.

主要成果:

  • 这些指导方针涵盖指示,抗血栓治疗,乳头干预,抗生素预防和程序风险.
  • 在不确定的狭窄,胆管癌和胆道结石中强调了POCS的实用性.
  • 针对胆管炎和穿孔等不良事件进行治疗.

结论:

  • 这些指南为临床医生和内镜医生提供了实际参考.
  • 准则允许根据机构实践和患者特征进行调整.