在困难情况下使用前视回声内镜进行内镜跨壁疏通壁外
Surinder Singh Rana1, Sachin Hosahally Jayanna2, Ravi Sharma2
1Department of Gastroenterology, Post Graduate Institute of Medical Education and Research (PGIMER), Sector 12, Chandigarh, 160012, India. rana.surindersingh@pgimer.edu.in.
Digestive diseases and sciences
|January 29, 2026
概括
前视回声内镜 (FVE) 提供了一种安全有效的解决方案,用于在传统方法失败时进行内外壁死 (WON) 的内外壁排水 (ETD). 这种技术可以确保在具有挑战性的病例中成功排水,改善患者的治疗结果.
科学领域:
- 胃肠病学 胃肠病学
- 干预性内镜检查是干预性的内镜检查.
- 手术瘤学手术瘤学
背景情况:
- 使用斜视回声内镜进行内透视干 (Endoscopic transmural drainage,简称ETD) 是症状隔离性瘤 (WON) 的标准治疗方法.
- 由于可视化不佳,光线缩小,静脉附带物或斜角限制,程序可能会发生失败.
- 在困难的情况下,前性回声内镜 (FVE) 可能会提供技术优势.
研究的目的:
- 评估使用FVE的WON的EUS引导ETD的安全性和有效性.
- 用斜视回声内镜评估在排水失败的患者中的FVE实用性.
主要方法:
- 从第三级护理中心对内镜数据库的回顾性审查.
- 鉴定了在常规回声内镜失败后经过FVEETD的患者.
- 对人口统计数据,WON特征,程序细节,技术成功和不良事件的分析.
主要成果:
- 21名患者 (18名男性,年龄12-54岁) 接受了ETD与FVE用于WON (9-18厘米).
- 技术成功率为100%,在安装各种支架或排水管的情况下.
- 没有直接或早期的手术相关并发症或支架部署不当发生.
结论:
- 使用FVE的WON的ETD是一种安全有效的替代方案.
- 当传统的斜视回声内镜面临技术挑战或导致排水不成功时,FVE特别有益.
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