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改变流量:EUS引导排水如何重塑远端恶性胆道阻塞的管理

Jeska A Fritzsche^1,2, Inge de Vries^1,2, Jeanin E van Hooft³

¹Department of Gastroenterology and Hepatology, Amsterdam UMC, Location University of Amsterdam, Amsterdam, the Netherlands.

United European gastroenterology journal

|January 10, 2026

概括

透视超声引导胆管排水 (EUS-BD) 现在是远端恶性胆管阻塞 (dMBO) 的首要治疗方法,可以替代ERCP和皮肤穿方法. 以EUS为指导的胆固醇双切除术 (EUS-CDS) 是主要的技术,其他方法被选择性地使用.

科学领域:

胃肠病学和干预性内镜检查
在瘤学瘤学.
胆道干预胆道干预

背景情况:

透视超声引导胆管排水 (EUS-BD) 已从救援程序转变为主流治疗方法.
远端恶性胆道阻塞 (dMBO) 存在重大管理挑战.

研究的目的:

审查EUS-BD在管理dMBO中的当前应用和有效性.
以EUS-CDS为首选的EUS-BD技术,突出显示EUS引导胆固醇二管腺切除术 (EUS-CDS).

主要方法:

对dMBO的EUS-BD技术的当前文献和临床证据的审查.
对EUS-BD的技术考虑,临床结果和培训要求进行分析.

主要成果:

以EUS为指导的胆固醇二管腺切除术 (EUS-CDS) 越来越多地被采用,并显示出作为dMBO的主要治疗方法的前景.
在特定的复杂病例中,EUS导向肝胃口术 (EUS-HGS) 仍然具有价值.
由于有限的数据,其他EUS-BD技术只适用于利基指示.

结论:

EUS-BD,特别是EUS-CDS,是dMBO管理的可行和不断发展的替代方案.
未来的方向包括设备创新和以患者为中心的结果,以实现结构化的EUS-BD集成.

关键词:

通过EUS引导的胆汁排水.在EUS指导下进行胆固醇二骨切除术.通过EUS指导的肝胃口术.胆道排水胆道排水远端恶性胆道阻塞胆道阻塞灯光的金属支架 - 应用金属支架.

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