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经内镜超声引导下引流盆腔脓肿 - 腔内置入型金属支架的一种新用途。

Endoscopic ultrasound-guided drainage of a pelvic abscess - An alternative use of lumen-apposing metallic stents.

机构信息

Gastrenterology, Hospital de Castelo Branco, Portugal.

Gastrenterology, Hospital de Castelo Branco.

出版信息

Rev Esp Enferm Dig. 2023 Mar;115(3):151. doi: 10.17235/reed.2022.8919/2022.

Abstract

The use of lumen-apposing metal stent is well defined for endoscopic ultrasound-guided drainage of pancreatic collections (e.g. WON). However, it is not yet a well-established approach in the management of postsurgical collections. We present an alternative application of LAMS for EUS drainage of pelvic abscess, showing that it is a safe and minimally invasive technique, with excellent clinical results. This technique should be considered as a drainage alternative in these scenarios due to its lower morbidity and mortality, opening a new era in the approach to these lesions.

摘要

采用 lumen-apposing 金属支架进行内镜超声引导下胰腺脓肿(例如,WON)引流的方法已得到明确界定。然而,该方法在处理术后脓肿方面尚未得到广泛应用。我们提出了 LAMS 在经内镜超声引流盆腔脓肿中的另一种应用,结果显示该方法是一种安全且微创的技术,具有极好的临床效果。由于该技术具有较低的发病率和死亡率,在这些情况下,应将其视为一种引流替代方法,为这些病变的治疗开辟了一个新的时代。

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