内镜超声引导下胆管十二指肠吻合术治疗恶性低位胆道梗阻
Endoscopic ultrasound-guided choledochoduodenostomy for malignant lower biliary tract obstruction.
作者信息
Yamao Kenji, Hara Kazuo, Mizuno Nobumasa, Hijioka Susumu, Imaoka Hiroshi, Bhatia Vikram, Shimizu Yasuhiro
机构信息
Department of Gastroenterology, Aichi Cancer Center Hospital, 1-1 Kanokoden, Chikusa-Ku, Nagoya 464-8681, Japan.
出版信息
Gastrointest Endosc Clin N Am. 2012 Apr;22(2):259-69, ix. doi: 10.1016/j.giec.2012.04.008. Epub 2012 May 3.
Endoscopic ultrasound-guided choledochoduodenostomy (EUS-CDS) is a novel alternative to percutaneous transhepatic biliary drainage, when endoscopic retrograde cholangiopancreatography is unsuccessful in patients with malignant lower biliary obstruction. Some case series and a few prospective studies of EUS-CDS have reported high technical and functional success rates but with the downside of high early complication rates, albeit mostly nonsevere. In addition, the stents placed by EUS-CDS had a longer patency than transpapillary biliary stents.
内镜超声引导下胆总管十二指肠吻合术（EUS-CDS）是一种新型的替代经皮经肝胆道引流的方法，适用于恶性低位胆管梗阻患者内镜逆行胰胆管造影术不成功的情况。一些关于EUS-CDS的病例系列和少数前瞻性研究报告了较高的技术成功率和功能成功率，但缺点是早期并发症发生率较高，尽管大多并不严重。此外，EUS-CDS置入的支架通畅时间比经乳头胆管支架更长。
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