Tamada K, Seki H, Sato K, Kano T, Sugiyama S, Ichiyama M, Wada S, Ohashi A, Tomiyama G, Ueno A
Department of Gastroenterology, Jichi Medical School, Tochigi, Japan.
Endoscopy. 1991 Jan;23(1):2-3. doi: 10.1055/s-2007-1010596.
Fourteen patients with cholecystitis were treated by endoscopic placement of an endoprosthesis into the cystic duct. In these patients the administration of antibiotics had failed to change the clinical picture of cholecystitis. Clinical and ultrasonographic findings before and two months after stenting were compared. There was an improvement in abdominal pain in 9 out of 14 cases (64%); fever, present in 5 patients, disappeared in all. No clinical complications were observed. Sonographic findings in terms of gallbladder wall thickening and sludge present within the gallbladder improved in 57% and 88%, respectively. Our results indicate that this endoscopic procedure may be effective in the treatment of cholecystitis.
14例胆囊炎患者通过内镜将内支架置入胆囊管进行治疗。在这些患者中，抗生素治疗未能改变胆囊炎的临床表现。比较了支架置入术前及术后两个月的临床和超声检查结果。14例中有9例（64%）腹痛得到改善；5例患者存在的发热症状全部消失。未观察到临床并发症。胆囊壁增厚及胆囊内存在淤渣的超声检查结果分别有57%和88%得到改善。我们的结果表明，这种内镜治疗方法可能对胆囊炎治疗有效。
