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单节段内镜超声引导下经胃内镜逆行胰胆管造影术及同步内镜超声引导下经壁胆囊引流术治疗腹腔镜胆囊切除术后胆总管结石合并急性胆囊炎失败病例

Single-Session Endoscopic Ultrasound-Directed Transgastric Endoscopic Retrograde Cholangiopancreatography and Simultaneous Endoscopic Ultrasound-Guided Transmural Gallbladder Drainage in Choledocholithiasis and Acute Cholecystitis After Unsuccessful Laparoscopic Cholecystectomy.

作者信息

Hussain Azhar, Kumar Vishnu Charan Suresh, Khan Hafiz Muzaffar Akbar

机构信息

Division of Medicine, State University of New York Upstate Medical University, Syracuse, NY.

Division of Gastroenterology, State University of New York Upstate Medical University, Syracuse, NY.

出版信息

ACG Case Rep J. 2024 Aug 23;11(8):e01469. doi: 10.14309/crj.0000000000001469. eCollection 2024 Aug.

DOI:10.14309/crj.0000000000001469
PMID:39185540
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11343539/
Abstract

In patients considered high risk of laparoscopic cholecystectomy, percutaneous gallbladder drainage is traditionally considered first-line treatment option. Recent evidence supports endoscopic gallbladder drainage as a safe and feasible alternate option. We describe a case of Roux-en-Y gastric bypass surgery patient with acute cholecystitis and choledocholithiasis with unsuccessful laparoscopic cholecystectomy because of difficult operative field, underwent successful single-session endoscopic ultrasound-directed transgastric endoscopic retrograde cholangiopancreatography and endoscopic ultrasound-guided transmural gallbladder drainage at our institution.

摘要

对于被认为腹腔镜胆囊切除术高风险的患者，经皮胆囊引流传统上被视为一线治疗选择。最近的证据支持内镜下胆囊引流作为一种安全可行的替代选择。我们描述了一例接受Roux-en-Y胃旁路手术的患者，该患者患有急性胆囊炎和胆总管结石，因手术视野困难导致腹腔镜胆囊切除术失败，随后在我们机构成功接受了单期内镜超声引导下经胃内镜逆行胰胆管造影术和内镜超声引导下经壁胆囊引流术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/91e1/11343539/822e320fb919/ac9-11-e01469-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/91e1/11343539/822e320fb919/ac9-11-e01469-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/91e1/11343539/822e320fb919/ac9-11-e01469-g001.jpg

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Single-Session Endoscopic Ultrasound-Directed Transgastric Endoscopic Retrograde Cholangiopancreatography and Simultaneous Endoscopic Ultrasound-Guided Transmural Gallbladder Drainage in Choledocholithiasis and Acute Cholecystitis After Unsuccessful Laparoscopic Cholecystectomy.单节段内镜超声引导下经胃内镜逆行胰胆管造影术及同步内镜超声引导下经壁胆囊引流术治疗腹腔镜胆囊切除术后胆总管结石合并急性胆囊炎失败病例
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本文引用的文献

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Helix tack for lumen-apposing metal stent fixation in single-session EUS-directed transgastric ERCP.用于单期内镜超声引导下经胃逆行胰胆管造影术中管腔贴附金属支架固定的螺旋钉
VideoGIE. 2023 Feb 8;8(4):151-154. doi: 10.1016/j.vgie.2022.11.015. eCollection 2023 Apr.
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Management of biliary stones in bariatric surgery.肥胖症手术中胆石的管理
Ther Adv Gastrointest Endosc. 2022 Jun 19;15:26317745221105087. doi: 10.1177/26317745221105087. eCollection 2022 Jan-Dec.
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Maximizing success in single-session EUS-directed transgastric ERCP: a retrospective cohort study to identify predictive factors of stent migration.
最大化单次超声内镜引导经胃内镜逆行胰胆管造影术（EUS-DG）成功的策略：支架迁移预测因素的回顾性队列研究。
Gastrointest Endosc. 2021 Oct;94(4):727-732. doi: 10.1016/j.gie.2021.04.022. Epub 2021 May 3.
4
Practical Approaches for High-Risk Surgical Patients with Acute Cholecystitis: The Percutaneous Approach versus Endoscopic Alternatives.高危急性胆囊炎手术患者的实用治疗方法：经皮治疗与内镜治疗对比
Clin Endosc. 2020 Nov;53(6):678-685. doi: 10.5946/ce.2019.186. Epub 2020 Jan 9.
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Outcomes of an international multicenter registry on EUS-guided gallbladder drainage in patients at high risk for cholecystectomy.一项关于内镜超声引导下胆囊引流术在胆囊切除高危患者中的国际多中心注册研究结果。
Endosc Int Open. 2019 Aug;7(8):E964-E973. doi: 10.1055/a-0915-2098. Epub 2019 Jul 24.
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EUS-guided cholecystostomy versus endoscopic transpapillary cholecystostomy for acute cholecystitis in high-risk surgical patients.超声内镜引导胆囊造口术与内镜经乳头胆囊造口术治疗高危手术患者急性胆囊炎的比较。
Gastrointest Endosc. 2019 Feb;89(2):289-298. doi: 10.1016/j.gie.2018.08.052. Epub 2018 Sep 10.
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