管理与ERCP和EUS相关的十二指甲孔穿孔,使用超范围的剪贴
Ahmad M Al-Taee1, Jonathan Cohen1, Yunseok Namn1
1Center for Therapeutic Advanced Endoscopy and Innovation, Division of Gastroenterology and Hepatology, NYU Langone School of Medicine, New York, New York, USA.
iGIE : innovation, investigation and insights
|February 6, 2026
概括
内镜逆行胆血管细胞造影 (ERCP) 和内镜超声波 (EUS) 可以导致罕见的穿孔. 超视镜剪贴 (OTSC) 为这些严重的不良事件提供了成功的内镜治疗.
科学领域:
- 胃肠病学 胃肠病学
- 内視鏡外科手術 內視鏡外科手術
背景情况:
- 内镜逆行胆血管细胞造影 (ERCP) 和内镜超声波 (EUS) 是治疗胰腺胆道疾病的标准程序.
- 虽然这些手术通常是安全的,但它们存在罕见但严重的并发症的风险,例如穿孔.
研究的目的:
- 介绍ERCP和EUS相关穿孔的案例,这些穿孔成功地用超范围剪贴 (OTSC) 进行管理.
- 强调及时诊断和治疗术后穿孔的重要性.
主要方法:
- 三名患有ERCP/EUS相关穿孔的患者的病例系列介绍.
- 超视镜剪贴 (OTSCs) 的应用用于内镜封闭穿孔.
主要成果:
- 使用OTSC成功进行了ERCP/EUS相关穿孔的三个病例的内镜治疗.
- 已证明OTSC在关闭较大的穿孔和管方面的有效性.
结论:
- 早期识别和管理对于ERCP/EUS穿孔后的最佳结果至关重要.
- OTSCs代表了一个有价值的,潜在的第一线,内镜工具,用于管理ERCP/EUS相关的穿孔和.
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