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内镜逆行胰胆管造影术和内镜超声引导下胆囊引流术。

Endoscopic Retrograde Cholangiopancreatography and Endoscopic Ultrasound-Guided Gallbladder Drainage.

作者信息

Salameh Habeeb, DiMaio Christopher J

机构信息

Icahn School of Medicine at Mount Sinai, Dr. Henry D. Janowitz Division of Gastroenterology, One Gustave L. Levy Place, Box 1069, New York, NY 10029, USA.

Icahn School of Medicine at Mount Sinai, Dr. Henry D. Janowitz Division of Gastroenterology, One Gustave L. Levy Place, Box 1069, New York, NY 10029, USA.

出版信息

Gastrointest Endosc Clin N Am. 2019 Apr;29(2):293-310. doi: 10.1016/j.giec.2018.12.002.

Abstract

"Gallbladder disease is one of the most common gastrointestinal diseases encountered in clinical practice. Surgical removal and percutaneous drainage are both widely available and effective in the management of acute cholecystitis. Several endoscopic approaches exist as an alternative to these interventions. These include transpapillary approaches via endoscopic retrograde cholangiopancreatography (ERCP), transmural drainage and access approaches via endoscopic ultrasound (EUS), and endoscopic surgical approaches using natural orifice transluminal endoscopic surgery (NOTES) techniques. This article reviews the epidemiology and pathophysiology of gallbladder diseases and discusses the various percutaneous, surgical, and endoscopic approaches to managing gallbladder disease."

摘要

胆囊疾病是临床实践中最常见的胃肠道疾病之一。手术切除和经皮引流在急性胆囊炎的治疗中都广泛应用且效果显著。有几种内镜治疗方法可作为这些干预措施的替代方案。这些方法包括通过内镜逆行胰胆管造影术(ERCP)的经乳头途径、通过内镜超声(EUS)的透壁引流和进入途径,以及使用经自然腔道内镜手术(NOTES)技术的内镜手术方法。本文综述了胆囊疾病的流行病学和病理生理学,并讨论了治疗胆囊疾病的各种经皮、手术和内镜治疗方法。

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