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内镜经乳头引流术成功治疗与间质性肺炎类固醇治疗相关的胆囊穿孔（附视频）

Successful treatment with endoscopic transpapillary drainage for gallbladder perforation associated with steroid treatment for interstitial pneumonia (with video).

作者信息

Kawakami Yujiro, Suzuki Kazuya, Akahonai Masakazu, Miyake Takakazu, Taniguchi Masahiro, Nakase Hiroshi

机构信息

Department of Gastroenterology and Hepatology Sapporo Medical University School of Medicine Sapporo Japan.

Department of Gastroenterology Kushiro City General Hospital Kushiro Japan.

出版信息

JGH Open. 2020 Jul 30;4(6):1233-1235. doi: 10.1002/jgh3.12397. eCollection 2020 Dec.

DOI:10.1002/jgh3.12397
PMID:33319063
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7731810/
Abstract

This case report highlights the clinical efficacy of endoscopic transpapillary drainage for gallbladder perforation in a high-risk surgical patient with a history of steroid treatment for interstitial pneumonia. The usefulness of endoscopic transpapillary gallbladder drainage in high-risk surgical patients with acute cholecystitis has not been established. In difficult cases of emergent surgery, such as described here, endoscopic transpapillary drainage is a promising method to manage gallbladder perforation and acute cholecystitis recurrence.

摘要

本病例报告强调了内镜经乳头引流术对一名有间质性肺炎类固醇治疗史的高风险手术患者胆囊穿孔的临床疗效。内镜经乳头胆囊引流术在急性胆囊炎高风险手术患者中的有效性尚未确立。在此类所述的急诊手术困难病例中，内镜经乳头引流术是处理胆囊穿孔和急性胆囊炎复发的一种有前景的方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7035/7731810/e8ed5f43d43d/JGH3-4-1233-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7035/7731810/e8ed5f43d43d/JGH3-4-1233-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7035/7731810/e8ed5f43d43d/JGH3-4-1233-g001.jpg

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本文引用的文献

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Pre-surgery age-adjusted Charlson Comorbidity Index is associated with worse outcomes in acute cholecystitis.术前年龄校正的查尔森合并症指数与急性胆囊炎的较差预后相关。
Dig Liver Dis. 2019 Jun;51(6):858-863. doi: 10.1016/j.dld.2018.10.002. Epub 2018 Oct 11.
2
Tokyo Guidelines 2018: flowchart for the management of acute cholecystitis.东京指南 2018：急性胆囊炎管理流程图。
J Hepatobiliary Pancreat Sci. 2018 Jan;25(1):55-72. doi: 10.1002/jhbp.516. Epub 2017 Dec 20.
3
Optimal treatment strategy for acute cholecystitis based on predictive factors: Japan-Taiwan multicenter cohort study.
基于预测因素的急性胆囊炎最佳治疗策略：日本-台湾多中心队列研究
J Hepatobiliary Pancreat Sci. 2017 Jun;24(6):346-361. doi: 10.1002/jhbp.456. Epub 2017 May 31.
4
Long-term outcomes of endoscopic gallbladder stenting in high-risk surgical patients with calculous cholecystitis (with videos).内镜胆囊支架置入术治疗伴有胆石症的高危手术患者的长期疗效（附有视频）。
Gastrointest Endosc. 2016 May;83(5):905-13. doi: 10.1016/j.gie.2015.08.072. Epub 2015 Sep 10.
5
Endoscopic gallbladder stenting for acute cholecystitis: a retrospective study of 46 elderly patients aged 65 years or older.内镜下胆囊支架置入术治疗急性胆囊炎：46 例 65 岁及以上老年患者的回顾性研究。
BMC Gastroenterol. 2013 Apr 12;13:65. doi: 10.1186/1471-230X-13-65.