内镜逆行胰胆管造影失败后内镜超声引导下胆管引流：全能的胆胰内镜医师之路已开启！
Endoscopic ultrasound-guided biliary drainage after failed endoscopic retrograde cholangiopancreatography: The road is open for almighty biliopancreatic endoscopists!
作者信息
Antonini Filippo, Merlini Ilenia, Di Saverio Salomone
机构信息
Gastroenterology and Interventional Endoscopy UnitMazzoni Hospital AST Ascoli Piceno, Ascoli Piceno 63100, Italy.
Department of Surgery, Madonna del Soccorso Hospital AST Ascoli Piceno, San Benedetto del Tronto 63074, Italy.
出版信息
World J Gastrointest Surg. 2024 Sep 27;16(9):2765-2768. doi: 10.4240/wjgs.v16.i9.2765.
Abstract
Commentary on the article written and published by Peng , investigating the role of endoscopic ultrasound (EUS)-guided biliary drainage for palliation of malignant biliary obstruction after failed endoscopic retrograde cholangiopancreatography (ERCP). For 40 years endoscopic biliary drainage was synonymous with ERCP, and EUS was used mainly for diagnostic purposes. The advent of therapeutic EUS has revolutionized the field, especially with the development of a novel device such as electrocautery-enhanced lumen-apposing metal stents. Complete biliopancreatic endoscopists with both skills in ERCP and in interventional EUS, would be ideally suited to ensure patients the best drainage technique according to each individual situation.
摘要
对彭撰写并发表的一篇文章的评论，该文章探讨了内镜超声（EUS）引导下胆管引流在经内镜逆行胰胆管造影（ERCP）失败后缓解恶性胆管梗阻中的作用。40年来，内镜胆管引流一直是ERCP的代名词，而EUS主要用于诊断目的。治疗性EUS的出现彻底改变了这一领域，尤其是随着电灼增强管腔贴附金属支架等新型设备的发展。具备ERCP和介入性EUS技能的完整的胆胰内镜医师，将最适合根据每个患者的具体情况为其提供最佳的引流技术。
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2
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Diagnostics (Basel). 2023 Oct 20;13(20):3265. doi: 10.3390/diagnostics13203265.
3
Therapeutic endoscopic ultrasound: European Society of Gastrointestinal Endoscopy (ESGE) Guideline.
Endoscopy. 2022 Feb;54(2):185-205. doi: 10.1055/a-1717-1391. Epub 2021 Dec 22.
4
Endoscopic biliary drainage for malignant distal biliary obstruction: Which is better - endoscopic retrograde cholangiopancreatography or endoscopic ultrasound?
Dig Endosc. 2022 Jan;34(2):317-324. doi: 10.1111/den.14186. Epub 2021 Nov 29.
5
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Surg Endosc. 2022 Jun;36(6):4553-4569. doi: 10.1007/s00464-021-08808-0. Epub 2021 Nov 1.
6
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Eur Med J Hepatol. 2021 Aug;9(1):64-72. Epub 2021 Aug 5.
7
Lumen-apposing metal stents (with videos).
Gastrointest Endosc. 2021 Sep;94(3):457-470. doi: 10.1016/j.gie.2021.05.020. Epub 2021 Jul 24.
8
Endoscopic ultrasound-guided biliary drainage of malignant stenosis, not treatable with endoscopic retrograde cholangiopancreatography: a single-center, prospective observational study.
Endosc Int Open. 2021 Feb;9(2):E110-E115. doi: 10.1055/a-1313-6850. Epub 2021 Jan 25.
9
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