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在急性重症胆管炎中使用便携式X射线进行床边内镜逆行胰胆管造影术

Bedside Endoscopic Retrograde Cholangiopancreatography Using Portable X-Ray in Acute Severe Cholangitis.

作者信息

Shah Rushikesh, Qayed Emad

机构信息

Department of Medicine, Division of Digestive Diseases, Emory University School of Medicine, Atlanta, GA, USA.

出版信息

Case Rep Gastrointest Med. 2018 Feb 28;2018:8763671. doi: 10.1155/2018/8763671. eCollection 2018.

DOI:10.1155/2018/8763671
PMID:29682365
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5851175/
Abstract

Patients with acute cholangitis require emergent biliary decompression. Those who are hemodynamically unstable on vasopressor support and mechanical ventilation are too critically ill to move outside of the intensive care unit. This prohibits performing Endoscopic Retrograde Cholangiopancreatography (ERCP) in the endoscopy unit. Fluoroscopic guidance is required to confirm deep biliary cannulation during ERCP. There are a few reported cases of bedside ERCP using portable C-arm fluoroscopy unit or ultrasound guided cannulation. We present a unique case of life-saving emergent bedside ERCP in a severely ill patient with cholangitis and septic shock, using simple portable X-ray to confirm biliary cannulation.

摘要

急性胆管炎患者需要紧急胆道减压。那些在血管活性药物支持和机械通气下血流动力学不稳定的患者病情过于危重，无法转出重症监护病房。这使得在内镜室进行内镜逆行胰胆管造影术（ERCP）成为不可能。ERCP期间需要荧光透视引导来确认胆管深插管。有少数使用便携式C形臂荧光透视装置或超声引导插管进行床边ERCP的病例报告。我们报告了一例独特的病例，在一名患有胆管炎和感染性休克的重症患者中，使用简单的便携式X射线确认胆管插管，成功进行了挽救生命的紧急床边ERCP。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b6c/5851175/12ae919bfa92/CRIGM2018-8763671.006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b6c/5851175/3d6e60584f55/CRIGM2018-8763671.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b6c/5851175/aeede3044bf0/CRIGM2018-8763671.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b6c/5851175/ceff194d1bdc/CRIGM2018-8763671.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b6c/5851175/3ef92f1d14f2/CRIGM2018-8763671.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b6c/5851175/ee5362596423/CRIGM2018-8763671.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b6c/5851175/12ae919bfa92/CRIGM2018-8763671.006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b6c/5851175/3d6e60584f55/CRIGM2018-8763671.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b6c/5851175/aeede3044bf0/CRIGM2018-8763671.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b6c/5851175/ceff194d1bdc/CRIGM2018-8763671.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b6c/5851175/3ef92f1d14f2/CRIGM2018-8763671.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b6c/5851175/ee5362596423/CRIGM2018-8763671.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b6c/5851175/12ae919bfa92/CRIGM2018-8763671.006.jpg

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本文引用的文献

1
Surviving sepsis campaign: international guidelines for management of severe sepsis and septic shock: 2012.拯救脓毒症运动：严重脓毒症和脓毒性休克管理国际指南：2012 年。
Crit Care Med. 2013 Feb;41(2):580-637. doi: 10.1097/CCM.0b013e31827e83af.
2
TG13 flowchart for the management of acute cholangitis and cholecystitis.急性胆管炎和胆囊炎的 TG13 流程图。
J Hepatobiliary Pancreat Sci. 2013 Jan;20(1):47-54. doi: 10.1007/s00534-012-0563-1.
3
Outcome of emergency ERCP in the intensive care unit.在重症监护病房行紧急内镜逆行胰胆管造影术的结果。
患有胆道梗阻和胆管炎的重症患者：床旁无荧光内镜下引流与经皮引流的比较
J Clin Med. 2022 Mar 28;11(7):1869. doi: 10.3390/jcm11071869.
4
Feasibility and safety of bedside percutaneous biliary drainage in patients with severe cholangitis.严重胆管炎患者床边经皮胆道引流的可行性和安全性。
Abdom Radiol (NY). 2021 May;46(5):2156-2160. doi: 10.1007/s00261-020-02825-8. Epub 2020 Oct 23.
5
Endoscopic retrograde cholangiopancreatography (ERCP) in critically ill patients is safe and effective when performed in the endoscopy suite.在内镜室对危重症患者进行内镜逆行胰胆管造影（ERCP）是安全有效的。
Endosc Int Open. 2020 Sep;8(9):E1165-E1172. doi: 10.1055/a-1194-4049. Epub 2020 Aug 31.
Endoscopy. 2011 Jun;43(6):549-51. doi: 10.1055/s-0030-1256235. Epub 2011 Mar 21.
4
Therapeutic endoscopic retrograde cholangiopancreatography without fluoroscopy in four critically ill patients using wire-guided intraductal ultrasound.四名危重症患者在无荧光透视下使用导丝引导的导管内超声进行治疗性内镜逆行胰胆管造影术。
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