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大量腹水患者在超声内镜引导下肝胃造口术期间支架移位:采用额外的超声内镜引导下顺行支架置入术进行故障排除

Stent migration during EUS-guided hepaticogastrostomy in a patient with massive ascites: Troubleshooting using additional EUS-guided antegrade stenting.

作者信息

Kamata Ken, Takenaka Mamoru, Minaga Kosuke, Omoto Shunsuke, Miyata Takeshi, Yamao Kentaro, Imai Hajime, Kudo Masatoshi

机构信息

Department of Gastroenterology and Hepatology, Kindai University School of Medicine, Osaka, Japan.

Department of Gastroenterology and Hepatology, Kindai University School of Medicine, Osaka, Japan.

出版信息

Arab J Gastroenterol. 2017 Jun;18(2):120-121. doi: 10.1016/j.ajg.2017.05.016. Epub 2017 Jun 13.

DOI:10.1016/j.ajg.2017.05.016
PMID:28622882
Abstract

EUS-guided hepaticogastrostomy (EUS-HGS) is useful for treating obstructive jaundice. However, stent migration may sometimes occur both during and after the procedure. This report describes a patient with pancreatic cancer and massive ascites who underwent EUS-HGS combined with EUS-guided antegrade stenting (EUS-AS), with additional EUS-AS playing a role in troubleshooting for stent migration during EUS-HGS.

摘要

超声内镜引导下肝胃吻合术(EUS-HGS)对于治疗梗阻性黄疸很有用。然而,在手术过程中和术后有时可能会发生支架移位。本报告描述了一名患有胰腺癌和大量腹水的患者,该患者接受了EUS-HGS联合超声内镜引导下顺行支架置入术(EUS-AS),额外的EUS-AS在解决EUS-HGS期间的支架移位问题中发挥了作用。

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J Clin Med. 2022 Mar 14;11(6):1591. doi: 10.3390/jcm11061591.
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Endoscopic Reintervention for Recurrence of Malignant Biliary Obstruction: Developing the Best Strategy.内镜下再次介入治疗恶性胆道梗阻复发:制定最佳策略。
Gut Liver. 2022 Jul 15;16(4):525-534. doi: 10.5009/gnl210228. Epub 2022 Feb 23.
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Partially covered self-expandable metal stent with antimigratory single flange plays important role during EUS-guided hepaticogastrostomy.
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Endosc Int Open. 2022 Feb 15;10(2):E209-E214. doi: 10.1055/a-1729-0048. eCollection 2022 Feb.
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