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胰腺假性囊肿的内镜下经壁引流：资源匮乏地区的技术挑战

Endoscopic transmural drainage of pancreatic pseudocysts: technical challenges in the resource poor setting.

作者信息

Cawich Shamir O, Murphy Trevor, Shah Sundeep, Barrow Phillip, Arthurs Milton, Ramdass Michael J, Johnson Peter B

机构信息

Department of Clinical Surgical Sciences, University of the West Indies, St. Augustine Campus, St. Augustine, Trinidad and Tobago.

Department of Medicine, University of the West Indies, Mona Campus, Kingston, Jamaica.

出版信息

Case Rep Gastrointest Med. 2013;2013:942832. doi: 10.1155/2013/942832. Epub 2013 Nov 27.

DOI:10.1155/2013/942832
PMID:24377052
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3860138/
Abstract

Although surgical drainage of pancreatic pseudocysts has been superseded by less invasive options, the requirement for specialized equipment, technical expertise, and consumables limits the options available in low resource settings. We describe the challenges experienced during endoscopic transmural drainage in a low resource setting and the methods used to overcome these barriers. Despite operating in a low resource environment, endoscopic drainage of pancreatic pseudocysts can be incorporated into our armamentarium with minimal change to the existing hardware. Careful patient selection by a dedicated multidisciplinary team should be observed in order to achieve good outcomes.

摘要

尽管胰腺假性囊肿的手术引流已被侵入性较小的方法所取代，但专用设备、技术专长和耗材的需求限制了资源匮乏地区的可用选择。我们描述了在资源匮乏地区进行内镜经壁引流时遇到的挑战以及用于克服这些障碍的方法。尽管是在资源匮乏的环境中开展手术，但胰腺假性囊肿的内镜引流可以以对现有硬件进行最小改动的方式纳入我们的医疗手段。为了取得良好的治疗效果，应由专门的多学科团队仔细挑选患者。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/838b/3860138/d1f488e69f35/CRIM.GM2013-942832.007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/838b/3860138/78cb8e2958b5/CRIM.GM2013-942832.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/838b/3860138/3988b0948a99/CRIM.GM2013-942832.002.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/838b/3860138/5235ce2a75a9/CRIM.GM2013-942832.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/838b/3860138/ab54beba60dc/CRIM.GM2013-942832.006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/838b/3860138/d1f488e69f35/CRIM.GM2013-942832.007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/838b/3860138/78cb8e2958b5/CRIM.GM2013-942832.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/838b/3860138/3988b0948a99/CRIM.GM2013-942832.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/838b/3860138/237d36eb3313/CRIM.GM2013-942832.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/838b/3860138/f3f604616353/CRIM.GM2013-942832.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/838b/3860138/5235ce2a75a9/CRIM.GM2013-942832.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/838b/3860138/ab54beba60dc/CRIM.GM2013-942832.006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/838b/3860138/d1f488e69f35/CRIM.GM2013-942832.007.jpg

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EUS-guided drainage is more successful in pancreatic pseudocysts compared with abscesses.
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Complex liver resections for colorectal metastases: are they safe in the low-volume, resource-poor Caribbean setting?用于结直肠癌肝转移的复杂肝切除术：在加勒比地区低手术量、资源匮乏的环境中是否安全？
Case Rep Surg. 2015;2015:570968. doi: 10.1155/2015/570968. Epub 2015 Feb 2.
EUS 引导下的引流在胰腺假性囊肿中的成功率高于脓肿。
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