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介入性内镜超声的并发症及处理:批判性评价。

Complications and management of interventional endoscopic ultrasound: A critical review.

机构信息

Gastroenterology and Digestive Endoscopy Unit, Forlì-Cesena Hospitals, AUSL Romagna, Forlì, Italy.

Gastroenterology and Digestive Endoscopy Unit, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy; Department of Internal Medicine and Therapeutics, University of Pavia, Pavia, Italy.

出版信息

Best Pract Res Clin Gastroenterol. 2024 Mar;69:101888. doi: 10.1016/j.bpg.2024.101888. Epub 2024 Feb 2.

Abstract

In the last decades, Endoscopic ultrasound (EUS) has rapidly grown and evolved from being mainly a diagnostic procedure, to being an interventional and therapeutic tool in several pathological clinical scenarios. With the progressive growth in technical expertise and dedicated devices, interventional endoscopic ultrasound procedures (IEUSP) have shown high rates of technical and clinical success, together with a relatively safe profile. However, the description and the standardization of different and specific types of adverse events (AEs) are still scarce in literature, and, consequently, even less the management of AEs. The aim of this study is to critical review and to describe AEs related to each of the main IEUSP, and to provide an overview on the possible management strategies of endoscopic complications. Future studies and guidelines are surely required to reach a better standardization of different AEs and their best management.

摘要

在过去的几十年中,内镜超声(EUS)从主要的诊断程序迅速发展和演变,成为几种病理临床情况下的介入和治疗工具。随着技术专业知识和专用设备的不断发展,介入性内镜超声程序(IEUSP)已显示出较高的技术和临床成功率,同时具有相对安全的特性。然而,不同类型的不良事件(AEs)的描述和标准化在文献中仍然很少,因此,对 AEs 的管理更是如此。本研究的目的是批判性地回顾和描述与主要 IEUSP 相关的 AEs,并概述内镜并发症的可能管理策略。未来的研究和指南无疑需要达到不同 AEs 的更好标准化和最佳管理。

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