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内镜超声引导下胆囊引流和胃肠造口术综述:辅助方法及与其他技术的比较

A review of endoscopic ultrasound-guided gallbladder drainage and gastroenterostomy: assisted approaches and comparison with alternative techniques.

作者信息

Xu Rongmin, Zhang Kai, Guo Jintao, Sun Siyu

机构信息

Department of Gastroenterology, Shengjing Hospital of China Medical University, Shenyang, Liaoning Province, China.

Department of Gastroenterology, Shengjing Hospital of China Medical University, No. 36, Sanhao Street, Shenyang, Liaoning Province 110004, China.

出版信息

Therap Adv Gastroenterol. 2024 Dec 3;17:17562848241299755. doi: 10.1177/17562848241299755. eCollection 2024.

DOI:10.1177/17562848241299755
PMID:39635228
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11615986/
Abstract

Over the last 40 years, the role of endoscopic ultrasound (EUS) has evolved from being diagnostic to therapeutic. EUS-guided gallbladder drainage (EUS-GBD) and EUS-guided gastroenterostomy (EUS-GE) are emerging techniques in recent years; however, there are limited studies and inconsistent results regarding these techniques. In addition, EUS has become a more common alternative to traditional interventions due to its super minimally invasive nature, but the mobility of both the gallbladder and intestine makes it challenging to introduce stents. An increasing number of researchers are dedicating themselves to solving this problem, leading to the development of various assisted technologies. Consequently, this review focused on the comparison of EUS-GBD and EUS-GE with other alternative approaches and explored the various assisted techniques employed for EUS-GBD and EUS-GE.

摘要

在过去40年里,内镜超声(EUS)的作用已从诊断发展到治疗。内镜超声引导下胆囊引流术(EUS-GBD)和内镜超声引导下胃肠吻合术(EUS-GE)是近年来新兴的技术;然而,关于这些技术的研究有限且结果不一致。此外,由于其超微创的特性,EUS已成为传统干预手段更常用的替代方法,但胆囊和肠道的移动性使得引入支架具有挑战性。越来越多的研究人员致力于解决这一问题,从而催生了各种辅助技术。因此,本综述重点比较了EUS-GBD和EUS-GE与其他替代方法,并探讨了用于EUS-GBD和EUS-GE的各种辅助技术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2493/11615986/83b2365f31cf/10.1177_17562848241299755-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2493/11615986/42ebde8038d5/10.1177_17562848241299755-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2493/11615986/dfe046ae6253/10.1177_17562848241299755-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2493/11615986/83b2365f31cf/10.1177_17562848241299755-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2493/11615986/42ebde8038d5/10.1177_17562848241299755-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2493/11615986/dfe046ae6253/10.1177_17562848241299755-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2493/11615986/83b2365f31cf/10.1177_17562848241299755-fig3.jpg

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本文引用的文献

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Lancet Gastroenterol Hepatol. 2025 Jun;10(6):e8-e16. doi: 10.1016/S2468-1253(25)00136-0.
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Efficacy and safety of EUS-guided hepatogastrostomy: A systematic review and meta-analysis.超声内镜引导下肝胃吻合术的疗效与安全性:一项系统评价和荟萃分析。
Endosc Ultrasound. 2024 May-Jun;13(3):171-182. doi: 10.1097/eus.0000000000000055. Epub 2024 May 15.
3
A novel lumen-apposing metal stent for endoscopic drainage of symptomatic pancreatic fluid collections: a retrospective study.
一种用于有症状胰液积聚内镜引流的新型管腔贴合金属支架:一项回顾性研究。
Endosc Ultrasound. 2024 Jan-Feb;13(1):40-45. doi: 10.1097/eus.0000000000000039. Epub 2023 Dec 29.
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Efficacy and safety of EUS-directed transgastric ERCP (EDGE) laparoscopic-assisted ERCP: A systematic review and meta-analysis.超声内镜引导下经胃逆行胰胆管造影术(EDGE)与腹腔镜辅助逆行胰胆管造影术的疗效与安全性:一项系统评价与荟萃分析。
Endosc Ultrasound. 2024 Jan-Feb;13(1):16-21. doi: 10.1097/eus.0000000000000032. Epub 2024 Jan 23.
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