• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

带支架置入的胆道镜治疗良性十二指肠狭窄：一例报告

Choledochoscope with stent placement for treatment of benign duodenal strictures: A case report.

作者信息

Cho Ryan Sung-Eun, Magulick John, Madden Shelby, Burdick James Steven

机构信息

Department of Gastroenterology and Hepatology, San Antonio Uniformed Services Health Education Consortium, San Antonio, TX 78253, United States.

Department of Internal Medicine, San Antonio Uniformed Services Health Education Consortium, Dallas, TX 78253, United States.

出版信息

World J Gastrointest Endosc. 2019 Mar 16;11(3):256-261. doi: 10.4253/wjge.v11.i3.256.

DOI:10.4253/wjge.v11.i3.256
PMID:30918591
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6425279/
Abstract

BACKGROUND

Endoscopically or fluoroscopically guided dilation is a safe and effective alternative to surgery for patients with benign strictures of the gastric outlet.

CASE SUMMARY

We describe two cases where a novel approach with a Spyglass choledochoscope in assessing the extent of benign duodenal strictures and aiding in placement of duodenal stents for treatment of the strictures. Choledochoscope-guided wire and stent placement was successful in all cases, leading to symptom resolution related to benign duodenal obstruction. No major adverse events were observed.

CONCLUSION

Choledochoscope-guided assessment and endoscopic therapy is a viable approach in relieving duodenal obstruction, if the conventional combined fluoroscopic and endoscopic methods fail.

摘要

背景

对于胃出口良性狭窄患者，内镜或荧光镜引导下的扩张术是一种安全有效的手术替代方法。

病例总结

我们描述了两例采用新型Spyglass胆道镜评估良性十二指肠狭窄范围并辅助放置十二指肠支架以治疗狭窄的病例。在所有病例中，胆道镜引导下的导丝和支架置入均成功，缓解了与良性十二指肠梗阻相关的症状。未观察到重大不良事件。

结论

如果传统的荧光镜和内镜联合方法失败，胆道镜引导下的评估和内镜治疗是缓解十二指肠梗阻的一种可行方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d57b/6425279/0d7ac5bab8c4/WJGE-11-256-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d57b/6425279/7da715dcdc57/WJGE-11-256-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d57b/6425279/67af99f7f7be/WJGE-11-256-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d57b/6425279/ee21ea8897c6/WJGE-11-256-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d57b/6425279/04d515e1c2f5/WJGE-11-256-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d57b/6425279/e1da423142f6/WJGE-11-256-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d57b/6425279/71beb8e4b5fc/WJGE-11-256-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d57b/6425279/0d7ac5bab8c4/WJGE-11-256-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d57b/6425279/7da715dcdc57/WJGE-11-256-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d57b/6425279/67af99f7f7be/WJGE-11-256-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d57b/6425279/ee21ea8897c6/WJGE-11-256-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d57b/6425279/04d515e1c2f5/WJGE-11-256-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d57b/6425279/e1da423142f6/WJGE-11-256-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d57b/6425279/71beb8e4b5fc/WJGE-11-256-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d57b/6425279/0d7ac5bab8c4/WJGE-11-256-g007.jpg

相似文献

1
Choledochoscope with stent placement for treatment of benign duodenal strictures: A case report.带支架置入的胆道镜治疗良性十二指肠狭窄：一例报告
World J Gastrointest Endosc. 2019 Mar 16;11(3):256-261. doi: 10.4253/wjge.v11.i3.256.
2
Fluoroscopically guided balloon dilation or temporary stent placement for patients with gastric conduit strictures after esophagectomy with esophagogastrostomy.食管胃吻合术后胃管吻合口狭窄患者的透视引导下球囊扩张或临时支架置入术。
AJR Am J Roentgenol. 2013 Jul;201(1):202-7. doi: 10.2214/AJR.12.9420.
3
Fluoroscopic-guided stent placement in failed tentative endoscopic approaches to malignant gastroduodenal obstructions.在恶性胃十二指肠梗阻的初步内镜治疗失败后，在荧光透视引导下放置支架
Acta Radiol. 2017 Aug;58(8):959-963. doi: 10.1177/0284185116682379. Epub 2017 Jan 13.
4
Combined duodenal stent placement and endoscopic ultrasonography-guided biliary drainage for malignant duodenal obstruction with biliary stricture.十二指肠支架置入联合超声内镜引导胆道引流治疗伴有胆道狭窄的恶性十二指肠梗阻。
Dig Endosc. 2010 Jul;22(3):236-40. doi: 10.1111/j.1443-1661.2010.00997.x.
5
Self-expandable metallic stents for malignant gastric outlet obstruction.自膨式金属支架治疗恶性胃出口梗阻。
Adv Ther. 2010 Oct;27(10):691-703. doi: 10.1007/s12325-010-0061-2. Epub 2010 Aug 19.
6
Fluoroscopic-guided covered metallic stent placement for gastric outlet obstruction and post-operative gastroenterostomy anastomotic stricture.透视引导下置入覆膜金属支架治疗胃出口梗阻及术后胃肠吻合口狭窄。
Clin Radiol. 2001 Jul;56(7):560-7. doi: 10.1053/crad.2001.0700.
7
Combined endoscopic stent-in-stent placement for malignant biliary and duodenal obstruction by using a new duodenal metal stent (with videos).使用新型十二指肠金属支架进行内镜下联合支架置入治疗恶性胆管和十二指肠梗阻（附视频）
Gastrointest Endosc. 2009 Oct;70(4):772-7. doi: 10.1016/j.gie.2009.04.013.
8
Endoscopic management of difficult or recurrent esophageal strictures.内镜治疗困难或复发性食管狭窄。
Am J Gastroenterol. 2011 Dec;106(12):2080-91; quiz 2092. doi: 10.1038/ajg.2011.348. Epub 2011 Oct 18.
9
Technical modifications and strategies for stenting gastric outlet strictures using esophageal endoprostheses.使用食管内支架治疗胃出口狭窄的技术改良与策略
Endoscopy. 2002 May;34(5):402-6. doi: 10.1055/s-2002-25282.
10
Expandable metal stent placement for benign colorectal obstruction: outcomes for 23 cases.可扩张金属支架置入术治疗良性结直肠梗阻：23例患者的治疗结果
Surg Endosc. 2008 Feb;22(2):454-62. doi: 10.1007/s00464-007-9453-z.

本文引用的文献

1
Effects of the temporary placement of a self-expandable metallic stent in benign pyloric stenosis.良性幽门狭窄中自膨式金属支架临时放置的效果。
Gut Liver. 2013 Jul;7(4):417-22. doi: 10.5009/gnl.2013.7.4.417. Epub 2013 Jun 11.
2
NSAIDs-Related Pyloroduodenal Obstruction and Its Endoscopic Management.非甾体抗炎药相关的幽门十二指肠梗阻及其内镜治疗
Diagn Ther Endosc. 2011;2011:967957. doi: 10.1155/2011/967957. Epub 2011 Jun 6.
3
Endoscopic balloon dilation for benign gastric outlet obstruction in adults.成人良性胃出口梗阻的内镜下球囊扩张术
World J Gastrointest Endosc. 2010 Jan 16;2(1):29-35. doi: 10.4253/wjge.v2.i1.29.
4
Benign strictures of the esophagus and gastric outlet: interventional management.食管和胃出口良性狭窄：介入治疗管理。
Korean J Radiol. 2010 Sep-Oct;11(5):497-506. doi: 10.3348/kjr.2010.11.5.497. Epub 2010 Aug 27.
5
Present status and strategy of NSAIDs-induced small bowel injury.非甾体抗炎药诱导的小肠损伤的现状与策略。
J Gastroenterol. 2009;44(9):879-88. doi: 10.1007/s00535-009-0102-2. Epub 2009 Jul 1.
6
Long-term follow-up of patients with gastric outlet obstruction related to peptic ulcer disease treated with endoscopic balloon dilatation and drug therapy.内镜下球囊扩张联合药物治疗消化性溃疡所致胃出口梗阻患者的长期随访
Gastrointest Endosc. 2007 Sep;66(3):491-7. doi: 10.1016/j.gie.2006.11.016. Epub 2007 Jul 20.
7
Self-expanding metallic stents for continuous dilatation of benign stenoses in gastrointestinal tract - first results of long-term follow-up in interim stent application in pyloric and colonic obstructions.用于胃肠道良性狭窄持续扩张的自膨式金属支架——幽门和结肠梗阻临时支架应用长期随访的初步结果
Z Gastroenterol. 2001 Nov;39(11):957-60. doi: 10.1055/s-2001-18531.
8
Nonsteroidal antiinflammatory drugs are associated with gastric outlet obstruction.非甾体抗炎药与胃出口梗阻有关。
J Clin Gastroenterol. 1995 Apr;20(3):196-8. doi: 10.1097/00004836-199504000-00006.
9
Malignancy is the most common cause of gastric outlet obstruction in the era of H2 blockers.在H2阻滞剂时代，恶性肿瘤是胃出口梗阻最常见的原因。
Am J Gastroenterol. 1995 Oct;90(10):1769-70.