在毕罗Ⅱ式胃切除术后患者中，通过附帽可变硬度结肠镜使用SpyGlass DS胆管镜进行胆道介入治疗。
Biliary intervention using SpyGlass DS cholangioscopy through a cap-attached variable-stiffness colonoscope in a patient following Billroth II gastrectomy.
作者信息
Ban Tesshin, Kawakami Hiroshi, Kubota Yoshimasa
机构信息
Department of Gastroenterology and Hepatology, Faculty of Medicine, University of Miyazaki, Japan; Center for Digestive Disease, University of Miyazaki Hospital, Japan.
Department of Gastroenterology and Hepatology, Faculty of Medicine, University of Miyazaki, Japan; Center for Digestive Disease, University of Miyazaki Hospital, Japan.
出版信息
Arab J Gastroenterol. 2017 Sep;18(3):169-171. doi: 10.1016/j.ajg.2017.07.001. Epub 2017 Sep 30.
The SpyGlass DS system is currently used as a direct video cholangioscope for biliary diagnostic and therapeutic procedures. In general, the SpyGlass DS cholangioscope is passed through the working channel of a duodenoscope and inserted into a bile duct via duodenal papilla. However, the procedure has been challenging in patients with altered gastrointestinal anatomy due to the retrograde route through a potentially tortuous afferent limb. A therapeutic colonoscope with variable stiffness can offer alternative guidance for SpyGlass DS cholangioscope in patients with surgically altered gastrointestinal anatomy.
SpyGlass DS系统目前用作胆道诊断和治疗程序的直接视频胆管镜。一般来说，SpyGlass DS胆管镜通过十二指肠镜的工作通道，经十二指肠乳头插入胆管。然而，对于胃肠道解剖结构改变的患者，由于要通过可能迂曲的输入袢逆行进入，该操作具有挑战性。对于胃肠道解剖结构因手术改变的患者，一种具有可变硬度的治疗性结肠镜可为SpyGlass DS胆管镜提供替代引导。
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