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超声内镜引导下胆囊十二指肠造口术治疗转移性神经内分泌肿瘤伴慢性奥曲肽相关性胆结石的手术低风险患者

EUS-Guided Cholecystoduodenostomy for a Poor Surgical Candidate With Chronic Octreotide-Associated Gallstones From Metastatic Neuroendocrine Tumor.

作者信息

Leung Lawrence Jun, Hamerski Christopher, Karia Kunal, Gupta Suraj

机构信息

Department of Gastroenterology, Kaiser Permanente San Francisco, San Francisco, CA.

出版信息

ACG Case Rep J. 2024 Mar 22;11(3):e01306. doi: 10.14309/crj.0000000000001306. eCollection 2024 Mar.

DOI:10.14309/crj.0000000000001306
PMID:38524262
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10956965/
Abstract

Chronic octreotide use has been associated with gallstone formation. Historically, cholecystectomy has been the defining treatment for those who have gallstone-related disease. For those who are poor surgical candidates, percutaneous and endoscopic approaches have been used. We describe the endoscopic management of a 74-year-old man with significant gallstone burden and associated sequelae because of chronic octreotide for metastatic neuroendocrine tumor through endoscopic ultrasound-guided cholecystoduodenostomy with gallstone extraction using lumen-apposing metal stents.

摘要

长期使用奥曲肽与胆结石形成有关。从历史上看，胆囊切除术一直是患有胆结石相关疾病患者的决定性治疗方法。对于那些手术条件较差的患者，已采用经皮和内镜方法。我们描述了一名74岁男性因转移性神经内分泌肿瘤长期使用奥曲肽而导致胆结石负担重及相关后遗症的内镜治疗，通过内镜超声引导下胆囊十二指肠造口术并使用管腔贴附金属支架取出胆结石。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfdd/10956965/27f713bc2b5d/ac9-11-e01306-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfdd/10956965/db8194095706/ac9-11-e01306-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfdd/10956965/12374baa6498/ac9-11-e01306-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfdd/10956965/0f7f9f2407bc/ac9-11-e01306-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfdd/10956965/27f713bc2b5d/ac9-11-e01306-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfdd/10956965/db8194095706/ac9-11-e01306-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfdd/10956965/12374baa6498/ac9-11-e01306-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfdd/10956965/0f7f9f2407bc/ac9-11-e01306-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfdd/10956965/27f713bc2b5d/ac9-11-e01306-g004.jpg

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本文引用的文献

1
Management of cholelithiasis with choledocholithiasis: Endoscopic and surgical approaches.胆石症合并胆总管结石的治疗：内镜和外科方法。
World J Gastroenterol. 2021 Jul 28;27(28):4536-4554. doi: 10.3748/wjg.v27.i28.4536.
2
EUS-guided gallbladder drainage: A review of current practices and procedures.超声内镜引导下胆囊引流：当前实践与操作的综述
Endosc Ultrasound. 2019 Nov 28;8(Suppl 1):S28-S34. doi: 10.4103/eus.eus_41_19. eCollection 2019 Nov.
3
Safety and efficacy of endoscopic ultrasound-guided gallbladder drainage combined with endoscopic retrograde cholangiopancreatography in the same session.
内镜超声引导下胆囊引流联合内镜逆行胰胆管造影术在同一次治疗中的安全性和有效性。
Dig Endosc. 2020 May;32(4):608-615. doi: 10.1111/den.13562. Epub 2019 Nov 22.
4
Safety and clinical outcomes of endoscopic ultrasound-guided gallbladder drainage with lumen-apposing metal stents in patients with dwell time over one year.留置时间超过一年的患者使用管腔贴附金属支架进行内镜超声引导下胆囊引流的安全性及临床结局
Ann Gastroenterol. 2019 Sep-Oct;32(5):514-521. doi: 10.20524/aog.2019.0395. Epub 2019 Jun 20.
5
Endoscopic laser lithotripsy and lithotomy through the lumen-apposing metal stent for a giant gallstone after EUS gallbladder drainage.内镜超声引导下胆囊引流术后，经管腔贴附金属支架行内镜激光碎石术及取石术治疗巨大胆结石。
VideoGIE. 2017 Jan 28;2(5):112-115. doi: 10.1016/j.vgie.2017.01.015. eCollection 2017 May.
6
Endoscopic ultrasound-assisted transmural cholecystoduodenostomy or cholecystogastrostomy as a bridge for per-oral cholecystoscopy therapy using double-flanged fully covered metal stent.内镜超声引导下经壁胆囊十二指肠吻合术或胆囊胃吻合术作为使用双凸缘全覆膜金属支架进行经口胆囊镜治疗的桥梁。
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7
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