用氰基丙烯酸正丁酯进行内镜治疗胆漏
Endoscopic treatment of biliary leakage with n-butyl-2 cyanoacrylate.
作者信息
Seewald Stefan, Groth Stefan, Sriram Parupudi V J, Xikun He, Akaraviputh Thawatchai, Mendoza Gerardo, Brand Boris, Seitz Uwe, Thonke Frank, Soehendra Nib
机构信息
Department of Interdisciplinary Endoscopy, University Hospital, Hamburg-Eppendorf, Germany.
出版信息
Gastrointest Endosc. 2002 Dec;56(6):916-9. doi: 10.1067/mge.2002.129873.
BACKGROUND
Biliary leakage is a problematic complication of hepatobiliary surgery. A novel alternative method is described that can obviate the need for reoperation for refractory biliary fistula.
METHODS
Nine patients with large biliary leaks unresponsive to endoscopic drainage underwent N-butyl-2-cyanoacrylate glue occlusion at ERCP.
RESULTS
In 7 patients, occlusion was successful with prompt control of the fistula in a single session, averting reoperation. In 1 patient there was a partial response and in another the treatment was unsuccessful. No procedure-related complication occurred over a median follow-up of 35 months (range: 1.6-160 months).
CONCLUSION
N-butyl-2-cyanoacrylate glue occlusion is a safe and effective endoscopic method for control of refractory bile leaks that eliminates the need for surgical reintervention.
背景
胆漏是肝胆外科手术中一个棘手的并发症。本文描述了一种新的替代方法，该方法可避免因难治性胆瘘而进行再次手术。
方法
9例经内镜引流无效的大量胆漏患者在ERCP下行氰基丙烯酸正丁酯胶水封堵术。
结果
7例患者封堵成功，单次治疗即迅速控制瘘管，避免了再次手术。1例患者部分有效，另1例治疗失败。中位随访35个月（范围：1.6 - 160个月）期间未发生与手术相关的并发症。
结论
氰基丙烯酸正丁酯胶水封堵术是一种安全有效的内镜方法，可控制难治性胆漏，无需进行外科再次干预。
Zotero 插件