手术解剖结构改变患者的内镜超声引导下内镜逆行胰胆管造影技术综述
A review of endoscopic ultrasound guided endoscopic retrograde cholangiopancreatography techniques in patients with surgically altered anatomy.
作者信息
Shah Rucha Mehta, Tarnasky Paul, Kedia Prashant
机构信息
Department of Gastroenterology, Methodist Dallas Medical Center, Dallas, TX, USA.
出版信息
Transl Gastroenterol Hepatol. 2018 Nov 9;3:90. doi: 10.21037/tgh.2018.10.10. eCollection 2018.
Abstract
Endoscopic retrograde cholangiopancreatography (ERCP) is the primary therapeutic intervention for pancreaticobiliary duct diseases. Surgically altered anatomy (SAA) makes performing successful ERCP challenging. In this review article the concept of endoscopic ultrasound guided pancreaticobiliary drainage (EUS-PBD) in cases of SAA where conventional ERCP fails or is not possible will be reviewed. EUS-PBD serves as an emerging and promising alternative for pancreaticobiliary therapy in the hands of skilled endoscopists compared to conventional therapies such as device-assisted ERCP, laparoscopic-assisted ERCP, or percutaneous drainage. The purpose of this review is to discuss the rationale, technique and current published outcomes on EUS-PBD for SAA.
摘要
内镜逆行胰胆管造影术（ERCP）是胰胆管疾病的主要治疗手段。手术改变的解剖结构（SAA）使成功进行ERCP具有挑战性。在这篇综述文章中，将对在传统ERCP失败或无法进行的SAA病例中，内镜超声引导下胰胆管引流（EUS-PBD）的概念进行综述。与设备辅助ERCP、腹腔镜辅助ERCP或经皮引流等传统治疗方法相比，EUS-PBD在熟练的内镜医师手中是一种新兴且有前景的胰胆管治疗替代方法。本综述的目的是讨论EUS-PBD治疗SAA的原理、技术及当前已发表的结果。
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