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内镜超声（EUS）引导下假性囊肿引流的一种新的多导丝插入技术（附视频）。

Endoscopic ultrasound (EUS)-guided pseudocyst drainage as a one-step procedure using a novel multiple-wire insertion technique (with video).

机构信息

Division of Gastroenterology and Hepatology, Department of Medicine, The Johns Hopkins Medical Institutions, 1830 E. Monument Street, Baltimore, MD 21205, USA.

出版信息

Surg Endosc. 2012 Nov;26(11):3320-3. doi: 10.1007/s00464-012-2297-1. Epub 2012 Apr 27.

DOI:10.1007/s00464-012-2297-1
PMID:22538697
Abstract

BACKGROUND

The EUS 2008 working group considered the development of equipment and methods to minimize the need for exchanging accessories and to facilitate insertion of multiple transmural stents during endoscopic ultrasound (EUS)-guided pseudocyst drainage as an important advance for therapeutic EUS. The authors aimed to describe their experience with EUS-guided pseudocyst drainage using a novel multiple-wire insertion technique facilitated by the double-lumen biliary cytology brush catheter.

METHODS

The study enrolled 10 symptomatic patients undergoing EUS-guided pseudocyst drainage. The EUS-guided pseudocyst drainage was performed as a one-step procedure using graded catheter and balloon dilation of the cystgastrostomy tract and a novel multiple-wire insertion technique facilitated by a modified double-lumen biliary cytology brush catheter. The main outcome measured was technical success.

RESULTS

In this study, 10 patients with 11 pseudocysts underwent a EUS-guided pseudocyst using the novel multiple-wire insertion technique. Technical success, defined as successful achievement of access and drainage of pseudocysts, was achieved in all cases (100 %) with no procedural complications. Clinical success was achieved in all cases with complete resolution of pseudocysts.

CONCLUSIONS

The novel method of using a modified double-lumen biliary cytology brush catheter allows for a simple and safe one-step EUS-guided drainage of pseudocysts.

摘要

背景

EUS 2008 工作组认为，开发设备和方法以尽量减少更换配件的需求，并促进在经内镜超声（EUS）引导下假性囊肿引流过程中插入多个经壁支架，这是治疗性 EUS 的重要进展。作者旨在描述他们使用新型多丝插入技术经 EUS 引导假性囊肿引流的经验，该技术得益于双腔胆管细胞学刷导管。

方法

本研究纳入了 10 例接受 EUS 引导假性囊肿引流的有症状患者。EUS 引导假性囊肿引流作为一步法进行，使用分级导管和球囊扩张囊肿胃造口术，并使用改良的双腔胆管细胞学刷导管促进新型多丝插入技术。主要测量的结果是技术成功。

结果

在这项研究中，10 例患者的 11 个假性囊肿使用新型多丝插入技术进行了 EUS 引导假性囊肿引流。技术成功定义为成功获得和引流假性囊肿，所有病例（100%）均成功，无手术并发症。所有病例均获得临床成功，假性囊肿完全消退。

结论

改良双腔胆管细胞学刷导管的新型使用方法可实现简单、安全的 EUS 引导假性囊肿一步法引流。

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