减肥手术时代的内镜下胆道治疗
Endoscopic biliary therapy in the era of bariatric surgery.
作者信息
Martin Harry, El Menabawey Tareq, Webster Orla, Parisinos Constantinos, Chapman Michael, Pereira Stephen P, Johnson Gavin, Webster George
机构信息
Pancreaticobiliary Medicine, University College London Hospitals, London, UK.
University of Bristol Medical School, Bristol, Bristol, UK.
出版信息
Frontline Gastroenterol. 2021 Feb 24;13(2):133-139. doi: 10.1136/flgastro-2020-101755. eCollection 2022.
Abstract
There is an increasing demand and availability of bariatric surgery, with a range of procedures performed, some leading to altered upper gastrointestinal anatomy. The patient population undergoing bariatric surgery is also at increased risk of gallstones and biliary stone disease. Endoscopy (ie, endoscopic retrograde cholangiopancreatography) is the cornerstone of management of biliary stone disease, but may be challenging after bariatric surgery. In this review the endoscopic, surgery assisted, or percutaneous options that may be considered are discussed, based on the details of surgical anatomy and available expertise.
摘要
减肥手术的需求和可及性日益增加，实施了一系列手术，其中一些会改变上消化道解剖结构。接受减肥手术的患者群体患胆结石和胆石病的风险也更高。内镜检查（即内镜逆行胰胆管造影）是胆石病治疗的基石，但在减肥手术后可能具有挑战性。在本综述中，根据手术解剖细节和现有专业知识，讨论了可能考虑的内镜、手术辅助或经皮治疗方案。
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