Hasan Muhammad K, Itoi Takao, Varadarajulu Shyam
Center for Interventional Endoscopy, Florida Hospital, Orlando, FL 32803, USA.
Gastrointest Endosc Clin N Am. 2013 Apr;23(2):453-9. doi: 10.1016/j.giec.2012.12.010. Epub 2013 Jan 10.
Acute cholecystitis is a commonly encountered medical emergency that is managed surgically with excellent results. Recent experiences with endoscopic cystic duct stent placement and cholecystectomy using the NOTES (Natural Orifice Transluminal Endoscopic Surgery) approach have inspired endoscopists to identify other less invasive means for treating cholecystitis. The ability to access and drain obstructive bile ducts in real time using endoscopic ultrasound guidance has led to recent reports of successful gallbladder drainage using similar techniques. This article discusses the current state of the endoscopic management of acute and acalculous cholecystitis, and outlines a consensus approach to the management of these patients.
急性胆囊炎是一种常见的医疗急症，通过手术治疗效果良好。最近在内镜下放置胆囊管支架以及采用NOTES（经自然腔道内镜手术）方法进行胆囊切除术的经验，激发了内镜医师去寻找其他侵入性较小的治疗胆囊炎的方法。利用内镜超声引导实时进入并引流梗阻性胆管的能力，促使近期有报道称采用类似技术成功进行了胆囊引流。本文讨论了急性和无结石性胆囊炎内镜治疗的现状，并概述了对这些患者的共识性治疗方法。
