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超薄内镜辅助方法治疗上消化道梗阻以避免技术失败。

Ultrathin endoscope-assisted method for the management of upper gastrointestinal obstruction to avoid technical failure.

作者信息

Kim Jong In, Kim Joon Sung, Kim Byung-Wook, Song Joo-Yong, Ham Joo Ho, Lee Bo-In, Choi Hye-Jung, Ji Jeong-Seon, Choi Hwang

机构信息

Division of Gastroenterology, Department of Internal Medicine, The Catholic University of Korea College of Medicine, Seoul, Korea.

出版信息

Clin Endosc. 2013 Jul;46(4):373-8. doi: 10.5946/ce.2013.46.4.373. Epub 2013 Jul 31.

DOI:10.5946/ce.2013.46.4.373
PMID:23964334
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3746142/
Abstract

BACKGROUND/AIMS: Endoscopic management of upper gastrointestinal obstruction is safe and feasible. However, its technical and clinical success rate is about 90%, which is primarily due to inability to pass a guide-wire through the stricture. The aim of this study was to evaluate the usefulness of an ultrathin endoscope for correct placement of guide wire to avoid technical failure in upper gastrointestinal obstruction.

METHODS

Retrospective assessment of ultrathin endoscope to traverse the stenosis of the upper gastrointestinal tract in technically difficult cases was performed. Technical and clinical success rates and immediate complications were analyzed.

RESULTS

Nine cases were included in this study (eight cases of stent insertion and one case of balloon dilatation). Technical success was achieved in all of the patients (100%) and oral feeding was feasible in all of the cases (100%). Immediate complications, such as migration, perforation, and hemorrhage, did not develop in any of the cases.

CONCLUSIONS

Ultrathin endoscope-assisted method for upper gastrointestinal obstruction is potentially safe and useful to avoid technical failure.

摘要

背景/目的：上消化道梗阻的内镜治疗是安全可行的。然而，其技术成功率和临床成功率约为90%，这主要是由于无法将导丝穿过狭窄部位。本研究的目的是评估超薄内镜在正确放置导丝以避免上消化道梗阻技术失败方面的实用性。

方法

对技术难度较大的病例中使用超薄内镜穿过上消化道狭窄进行回顾性评估。分析技术成功率、临床成功率和即时并发症。

结果

本研究纳入9例患者（8例支架置入术和1例球囊扩张术）。所有患者均取得技术成功（100%），所有病例均可行经口进食（100%）。所有病例均未发生即时并发症，如移位、穿孔和出血。

结论

超薄内镜辅助治疗上消化道梗阻对避免技术失败可能是安全且有用的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ddaf/3746142/a32818352878/ce-46-373-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ddaf/3746142/823c1a42d414/ce-46-373-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ddaf/3746142/dac08c966d70/ce-46-373-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ddaf/3746142/a32818352878/ce-46-373-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ddaf/3746142/823c1a42d414/ce-46-373-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ddaf/3746142/dac08c966d70/ce-46-373-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ddaf/3746142/a32818352878/ce-46-373-g003.jpg

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Clinical outcomes, quality of life, advantages and disadvantages of metal stent placement in the upper gastrointestinal tract.上消化道金属支架置入术的临床疗效、生活质量、优缺点。
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Ultrathin endoscope-assisted ERCP for inaccessible peridiverticular papilla by a single-balloon enteroscope in a patient with Roux-en-Y anastomosis.
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Dig Endosc. 2010 Oct;22(4):334-6. doi: 10.1111/j.1443-1661.2010.01028.x.
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Clin Gastroenterol Hepatol. 2009 Dec;7(12):e75-6. doi: 10.1016/j.cgh.2009.08.005. Epub 2009 Aug 13.
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Endoscopy. 2009;41 Suppl 2:E59-60. doi: 10.1055/s-2008-1077773. Epub 2009 Mar 24.
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