• 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

使用多弯曲超软内镜经口直接胆管镜检查在治疗肝内胆管病变中的应用（附有视频）。

Usefulness of Direct Peroral Cholangioscopy Using a Multibending Ultraslim Endoscope for the Management of Intrahepatic Bile Duct Lesions (with Videos).

机构信息

Digestive Disease Center and Research Institute, Department of Internal Medicine, Soonchunhyang University School of Medicine, Bucheon, Korea.

Department of Pathology, Soonchunhyang University School of Medicine, Bucheon, Korea.

出版信息

Gut Liver. 2024 Mar 15;18(2):358-364. doi: 10.5009/gnl230163. Epub 2024 Feb 27.

DOI:10.5009/gnl230163
PMID:38409663
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10938146/
Abstract

BACKGROUND/AIMS: : Peroral cholangioscopy (POC) has been used to assess intrahepatic duct (IHD) lesions but with a limited role. A new multibending (MB) ultraslim endoscope has been designed to improve POC performance. We evaluated the usefulness of POC using the MB ultraslim endoscope for the management of IHD lesions.

METHODS

: Between March 2017 and March 2020, 22 patients underwent direct POC using the MB ultraslim endoscope for IHD lesions documented by previous imaging or cholangiopancreatography. The primary outcome was technical success of POC, and secondary outcomes were technical success of POC-guided interventions, median procedure time, and POC-related adverse events.

RESULTS

: The technical success rate for POC using the MB ultraslim endoscope for IHD lesions was 95.5% (21/22). Free-hand insertion was successful in 95.2% (20/21). The overall technical success rate for POC-guided intervention was 100% (21/21), including nine diagnostic and 12 therapeutic procedures (eight direct stone removal and four intraductal lithotripsies). The median procedure time was 29 minutes (range, 9 to 79 minutes). There were no procedure-related adverse events.

CONCLUSIONS

: Direct POC using the MB ultraslim endoscope allows direct visualization of IHD lesions and may be useful for diagnosis and therapeutic management in selected patients.

摘要

背景/目的：经口胆胰管镜（POC）已被用于评估肝内胆管（IHD）病变，但作用有限。一种新的多弯曲（MB）超微型内镜已被设计用于改善 POC 的性能。我们评估了使用 MB 超微型内镜进行 POC 在 IHD 病变管理中的应用价值。

方法

2017 年 3 月至 2020 年 3 月，22 例 IHD 病变患者经先前的影像学或胆胰管造影检查证实，采用 MB 超微型内镜行直接 POC。主要结局是 POC 的技术成功率，次要结局是 POC 引导干预的技术成功率、中位操作时间和 POC 相关不良事件。

结果

MB 超微型内镜用于 IHD 病变的 POC 技术成功率为 95.5%（21/22）。20 例（95.2%）采用自由手插入法成功完成 POC。21 例患者的 POC 引导干预的总技术成功率为 100%（21/21），包括 9 例诊断性和 12 例治疗性操作（8 例直接取石和 4 例腔内碎石术）。中位操作时间为 29 分钟（范围 9 至 79 分钟）。无操作相关不良事件。

结论

MB 超微型内镜直接 POC 可直接观察 IHD 病变，可能对选定患者的诊断和治疗管理有用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8c1c/10938146/af7744c71d32/gnl-18-2-358-f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8c1c/10938146/8455845381da/gnl-18-2-358-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8c1c/10938146/7ca0b5380834/gnl-18-2-358-f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8c1c/10938146/a92e6735c7d5/gnl-18-2-358-f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8c1c/10938146/af7744c71d32/gnl-18-2-358-f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8c1c/10938146/8455845381da/gnl-18-2-358-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8c1c/10938146/7ca0b5380834/gnl-18-2-358-f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8c1c/10938146/a92e6735c7d5/gnl-18-2-358-f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8c1c/10938146/af7744c71d32/gnl-18-2-358-f4.jpg

相似文献

1
Usefulness of Direct Peroral Cholangioscopy Using a Multibending Ultraslim Endoscope for the Management of Intrahepatic Bile Duct Lesions (with Videos).使用多弯曲超软内镜经口直接胆管镜检查在治疗肝内胆管病变中的应用（附有视频）。
Gut Liver. 2024 Mar 15;18(2):358-364. doi: 10.5009/gnl230163. Epub 2024 Feb 27.
2
Utility of Direct Peroral Cholangioscopy Using a Multibending Ultraslim Endoscope for Difficult Common Bile Duct Stones.使用多弯曲超软内镜经口直接胆管镜检查在治疗困难的胆总管结石中的应用。
Gut Liver. 2022 Jul 15;16(4):599-605. doi: 10.5009/gnl210355. Epub 2022 Jan 7.
3
A newly modified access balloon catheter for direct peroral cholangioscopy by using an ultraslim upper endoscope (with videos).一种新改良的经口胆道镜检查用的进镜球囊导管，采用超微上消化道内镜（附有视频）。
Gastrointest Endosc. 2016 Jan;83(1):240-7. doi: 10.1016/j.gie.2015.08.021. Epub 2015 Aug 15.
4
Intraductal balloon-guided direct peroral cholangioscopy with an ultraslim upper endoscope (with videos).使用超薄上消化道内镜进行导管内球囊引导的直接经口胆管镜检查（附视频）
Gastrointest Endosc. 2009 Aug;70(2):297-302. doi: 10.1016/j.gie.2008.11.019. Epub 2009 Apr 25.
5
Prospective randomized trial of a new multibending versus conventional ultra-slim endoscope for peroral cholangioscopy without device or endoscope assistance (with video).一种新型多弯曲与传统超软内镜行经口胆管镜检查术的前瞻性随机试验：无需器械或内镜辅助（附视频）。
Gastrointest Endosc. 2020 Jan;91(1):92-101. doi: 10.1016/j.gie.2019.08.007. Epub 2019 Aug 20.
6
Residual common bile duct stones on direct peroral cholangioscopy using ultraslim endoscope.直接经口胆胰管镜检查使用超细内镜发现残余胆总管结石。
World J Gastroenterol. 2013 Aug 14;19(30):4966-72. doi: 10.3748/wjg.v19.i30.4966.
7
Use of peroral cholangioscopy to screen for neoplastic bile duct lesions in patients with bile duct stones (with videos).经口胆道镜检查在胆管结石患者中筛查肿瘤性胆管病变（附有视频）。
Gastrointest Endosc. 2021 Oct;94(4):776-785. doi: 10.1016/j.gie.2021.03.997. Epub 2021 Apr 15.
8
Direct peroral cholangioscopy using an ultraslim endoscope and overtube balloon-assisted technique: a case series.直接经口胆管镜检查术联合超细内镜和外套管球囊辅助技术：病例系列。
Endoscopy. 2010 Aug;42(8):681-4. doi: 10.1055/s-0030-1255616. Epub 2010 Jul 28.
9
A new hybrid anchoring balloon for direct peroral cholangioscopy using an ultraslim upper endoscope.一种新型杂交锚定球囊，用于使用超纤细上消化道内镜进行直接经口胆胰管镜检查。
Dig Endosc. 2018 May;30(3):364-371. doi: 10.1111/den.12989. Epub 2017 Dec 27.
10
Feasibility of Cholangioscopy Using Multibending Ultra-Slim Endoscope Through a Lumen-Apposing Metal Stent for Choledochoduodenostomy.使用多弯超细内镜通过管腔贴附金属支架进行胆总管十二指肠吻合术的胆管镜检查可行性
Dig Dis Sci. 2023 Jan;68(1):268-273. doi: 10.1007/s10620-022-07531-7. Epub 2022 May 26.

引用本文的文献

1
Advances in multibending endoscope: A paradigm shift in minimally invasive diagnostics and therapeutics.多弯曲内窥镜的进展：微创诊断与治疗的范式转变。
World J Gastrointest Endosc. 2025 Aug 16;17(8):106087. doi: 10.4253/wjge.v17.i8.106087.

本文引用的文献

1
Efficacy of narrow-band imaging during peroral cholangioscopy for predicting malignancy of indeterminate biliary strictures (with videos).经口胆道镜窄带成像在预测不确定胆道狭窄恶性程度中的作用（附视频）。
Gastrointest Endosc. 2022 Sep;96(3):512-521. doi: 10.1016/j.gie.2022.04.017. Epub 2022 Apr 22.
2
Utility of Direct Peroral Cholangioscopy Using a Multibending Ultraslim Endoscope for Difficult Common Bile Duct Stones.使用多弯曲超软内镜经口直接胆管镜检查在治疗困难的胆总管结石中的应用。
Gut Liver. 2022 Jul 15;16(4):599-605. doi: 10.5009/gnl210355. Epub 2022 Jan 7.
3
Efficacy and Safety of Percutaneous Transhepatic Cholangioscopy with the Spyglass DS Direct Visualization System in Patients with Surgically Altered Anatomy: A Pilot Study.
经皮经肝胆道镜Spyglass DS 直接可视化系统在解剖结构改变的患者中的疗效和安全性：一项初步研究。
Gut Liver. 2022 Jan 15;16(1):111-117. doi: 10.5009/gnl210028.
4
Use of peroral cholangioscopy to screen for neoplastic bile duct lesions in patients with bile duct stones (with videos).经口胆道镜检查在胆管结石患者中筛查肿瘤性胆管病变（附有视频）。
Gastrointest Endosc. 2021 Oct;94(4):776-785. doi: 10.1016/j.gie.2021.03.997. Epub 2021 Apr 15.
5
Prospective randomized trial of a new multibending versus conventional ultra-slim endoscope for peroral cholangioscopy without device or endoscope assistance (with video).一种新型多弯曲与传统超软内镜行经口胆管镜检查术的前瞻性随机试验：无需器械或内镜辅助（附视频）。
Gastrointest Endosc. 2020 Jan;91(1):92-101. doi: 10.1016/j.gie.2019.08.007. Epub 2019 Aug 20.
6
Direct peroral cholangioscopy for diagnosis of bile duct lesions using an I-SCAN ultraslim endoscope: a pilot study.使用I-SCAN超薄内镜经口直接胆管镜检查诊断胆管病变的初步研究。
Endoscopy. 2017 Jul;49(7):675-681. doi: 10.1055/s-0043-106179. Epub 2017 May 31.
7
Per-oral video cholangiopancreatoscopy with narrow-band imaging for the evaluation of indeterminate pancreaticobiliary disease.经口视频胆胰管镜窄带成像在不明原因胰胆疾病评估中的应用。
Gastrointest Endosc. 2017 Mar;85(3):509-517. doi: 10.1016/j.gie.2016.11.020. Epub 2016 Nov 25.
8
Adverse events associated with ERCP.与内镜逆行胰胆管造影术（ERCP）相关的不良事件。
Gastrointest Endosc. 2017 Jan;85(1):32-47. doi: 10.1016/j.gie.2016.06.051. Epub 2016 Aug 18.
9
ERCP tissue sampling.内镜逆行胰胆管造影术组织采样
Gastrointest Endosc. 2016 Oct;84(4):557-71. doi: 10.1016/j.gie.2016.04.039. Epub 2016 May 6.
10
The efficacy of peroral cholangioscopy for difficult bile duct stones and indeterminate strictures: a systematic review and meta-analysis.经口胆管镜检查对困难胆管结石和不确定性狭窄的疗效：一项系统评价和荟萃分析。
Endosc Int Open. 2016 Mar;4(3):E263-75. doi: 10.1055/s-0042-100194. Epub 2016 Feb 4.