在需要抗凝治疗的患者中使用腔内贴壁金属支架进行超声内镜引导下胆囊引流的安全性。
Safety of EUS-guided gallbladder drainage using a lumen-apposing metal stent in patients requiring anticoagulation.
作者信息
Vozzo Catherine Frakes, Simons-Linares C Roberto, Abou Saleh Mohannad, Stevens Tyler, Chahal Prabhleen
机构信息
Department of Gastroenterology and Hepatology, Cleveland Clinic Foundation, Cleveland, Ohio.
出版信息
VideoGIE. 2020 Sep 4;5(10):500-503.e1. doi: 10.1016/j.vgie.2020.07.009. eCollection 2020 Oct.
BACKGROUND AND AIMS
EUS-guided gallbladder drainage (EUS-GBD) can be used to treat acute cholecystitis in patients with medical comorbidities that prevent definitive operative management. Historically, nonsurgical management of cholecystitis was achieved by way of percutaneous gallbladder drainage.
METHODS
We examined the periprocedural bleeding rate of EUS-GBD for acute cholecystitis using lumen-apposing metal stents in 5 high-surgical-risk patients requiring anticoagulation. Data on 5 nonoperative candidates with acute cholecystitis who underwent EUS-GBD were studied retrospectively.
RESULTS
There were no immediate or delayed postprocedure adverse events, including bleeding.
CONCLUSIONS
Although further study is needed, EUS-GBD appears safe in patients who require periprocedural anticoagulation.
背景与目的
内镜超声引导下胆囊引流术（EUS-GBD）可用于治疗因内科合并症而无法进行确定性手术治疗的急性胆囊炎患者。从历史上看，胆囊炎的非手术治疗是通过经皮胆囊引流来实现的。
方法
我们在5例需要抗凝治疗的高手术风险患者中，使用管腔对接金属支架检查了EUS-GBD治疗急性胆囊炎的围手术期出血率。回顾性研究了5例接受EUS-GBD治疗的急性胆囊炎非手术候选患者的数据。
结果
术后未出现包括出血在内的即刻或延迟不良事件。
结论
尽管需要进一步研究，但EUS-GBD在需要围手术期抗凝治疗的患者中似乎是安全的。
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