内镜会师法重建完全性胆道梗阻
Endoscopic rendez-vous reconstruction of complete biliary obstruction.
作者信息
Neu B, Nennstiel S, von Delius S, Abdelhafez M, Bajbouj M, Schmid R M, Berger H, Feussner H, Meining A
机构信息
Academic Teaching Hospital Landshut-Achdorf, Medizinische Klinik II, Landshut, Technische Universität München, Germany.
Klinik und Poliklinik für Innere Medizin II, Klinikum rechts der Isar, Technische Universität München, München, Germany.
出版信息
Dig Liver Dis. 2017 Jul;49(7):769-772. doi: 10.1016/j.dld.2017.01.170. Epub 2017 Feb 27.
BACKGROUND AND STUDY AIMS
Complete biliary strictures normally require surgical intervention. We describe an alternative, minimally invasive endoscopic/percutaneous rendez-vous technique for the reconstruction of complete benign biliary strictures.
PATIENTS AND METHODS
Complete biliary strictures were reconstructed in four patients using a rendez-vous percutaneous-endoscopic or percutaneous-percutaneous route guided by fluoroscopic and visual (transillumination) control.
RESULTS
All four patients were treated successfully and safely with the rendez-vous technique. Complications were caused by the preliminary creation, dilatation and maturation of the percutaneous tract.
CONCLUSION
This technique may offer a good alternative to surgical bilio-enteric anastomosis in experienced hands. The long term course of the patients treated remains to be seen.
背景与研究目的
完全性胆管狭窄通常需要手术干预。我们描述了一种用于重建完全性良性胆管狭窄的替代性微创内镜/经皮会师技术。
患者与方法
在4例患者中采用经皮内镜或经皮经皮会师途径，在荧光镜和视觉（透照）控制下重建完全性胆管狭窄。
结果
所有4例患者均通过会师技术成功且安全地接受了治疗。并发症是由经皮通道的初步建立、扩张和成熟引起的。
结论
在经验丰富的医生手中，该技术可能是手术胆肠吻合术的良好替代方法。接受治疗患者的长期病程仍有待观察。
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