Endoscopy center, Shengjing Hospital of China Medical University, Shenyang 110004, Liaoning Province, China.
Endosc Ultrasound. 2012 Jul;1(2):110-3. doi: 10.7178/eus.02.010.
For the management of pancreatic abscess, endoscopic ultrasound (EUS)-guided puncture and drainage has become recognized as a safer and more effective alternative to surgery. Typically, a double-pigtail plastic stent is placed for drainage. When an abscess is complicated by infected necrosis, endoscopic evacuation is essential. However, endoscopic evacuation carries a high risk of hemorrhage and needs to be performed daily to be effective. We describe EUS-guided endoscopic evacuation and placement of a fully covered metal stent following two failed evacuations. Patient recovery time was excellent, and no complications occurred.
对于胰腺脓肿的治疗，经内镜超声（EUS）引导下的穿刺引流已被认为是一种比手术更安全、更有效的替代方法。通常，会放置双猪尾塑料支架进行引流。当脓肿合并感染性坏死时，内镜清除是必要的。然而，内镜清除有很高的出血风险，需要每天进行才能有效。我们描述了在两次清除失败后，通过 EUS 引导进行内镜清除和全覆膜金属支架置入的过程。患者的恢复时间非常好，没有发生任何并发症。
