Endoscopic ultrasound gallbladder drainage: Patient selection, preparation, and performance

Techniques in Gastrointestinal Endoscopy Pub Date : 2017-10-01 DOI:10.1016/j.tgie.2017.10.002

A.J. Small MD, S. Irani MBBS

引用次数: 1

Abstract

Acute cholecystitis is a common cause of hospital admissions and can result in critically ill patients. For those patients not amenable to cholecystectomy, endoscopic drainage via transpapillary cystic duct stenting or transmural drainage offers a temporizing method for urgent gallbladder decompression. Endoscopic ultrasonography (EUS) and the development of novel lumen apposing metal stents can allow for more permanent drainage with comparable outcomes to percutaneous transhepatic catheters. The merits of this approach including the technical and clinical advantages of EUS-guided drainage are discussed further in this review article.

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内镜超声胆囊引流：患者选择、准备和表现

急性胆囊炎是住院的常见原因，可导致危重病人。对于不能行胆囊切除术的患者，经乳头状囊管支架置入术或经壁引流为紧急胆囊减压提供了一种暂时性的方法。超声内镜(EUS)和新型腔内金属支架的发展可以实现更永久的引流，其结果与经皮经肝导管相当。这种方法的优点，包括eus引导引流的技术和临床优势，在这篇综述文章中进一步讨论。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Techniques in Gastrointestinal Endoscopy GASTROENTEROLOGY & HEPATOLOGY-

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期刊介绍： The purpose of each issue of Techniques in Gastrointestinal Endoscopy is to provide a comprehensive, current overview of a clinical condition or surgical procedure in gastrointestinal endoscopy, combining the effectiveness of an atlas with the timeliness of a journal. Each issue places a vigorous emphasis on diagnosis, rationale for and against a procedure, actual technique, management, and prevention of complications. The journal features abundant illustrations, line drawings and color artwork to guide readers through even the most complicated procedure.