以EUS为指导的胰腺管道排水:单中心观察性研究
Elodie Romailler1, Anouk Voutaz2, Sarra Oumrani1
1Department of Gastroenterology and Hepatology, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland.
iGIE : innovation, investigation and insights
|February 6, 2026
概括
内镜逆行胆血管细胞造影 (ERCP) 对于胰腺管道阻塞可能会失败. 用内镜超声波 (EUS) 引导的胰腺管道排水为需要治疗的患者提供了一种成功的,最少侵入性的替代方案.
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:
- 胰腺管道阻塞会导致疼痛和胰腺缩.
- 透镜逆行胆瘤胆瘤学 (ERCP) 是标准的治疗方法.
- 由于解剖学挑战或导管异常,跨毛囊ERCP可能会失败.
研究的目的:
- 为了评估EUS引导的胰腺管道排水的临床成功.
- 评估EUS引导排水作为复杂病例的外科手术的替代方案.
- 为了确定ERCP失败的患者的疗效.
主要方法:
- 对46名接受EUS导向胰腺管道排水 (2016-2022) 的患者进行了回顾性审查.
- 临床成功以减少疼痛 (VAS ≤2) 和没有复发性胰腺炎来定义.
- 体重稳定或恢复用于慢性胰腺炎和体重减轻.
主要成果:
- 在93.5%的患者中取得了技术上的成功.
- 在技术成功者中,临床成功率为93%.
- 观察到疼痛复发率低 (9.3%) 和胰腺炎复发率低 (6.9%).
结论:
- 以EUS指导的胰腺管道排水是一种非常成功的微创手术.
- 它为有症状的胰腺管狭窄症患者提供了有效的替代方案,这些患者在ERCP中失败.
- 这种技术可以帮助避免在良性或恶性病因方面进行胰腺手术.
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