胰腺癌的内镜超声胆道引流术

IF 2.1 4区医学 Q3 GASTROENTEROLOGY & HEPATOLOGY

Journal of Gastrointestinal and Liver Diseases Pub Date : 2023-12-22 DOI:10.15403/jgld-4922

Kar Wai Lau, M. Rimbaș, Giulia Tripodi, A. Larghi

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引用次数: 0

摘要

在内镜逆行胰胆管造影术（ERCP）不成功的情况下，内镜超声（EUS）引导胆道引流术（BD）是远端恶性胆道梗阻（DMBO）患者公认的挽救手术。EUS-BD 的潜在优势包括胃或十二指肠胆道通路、新型胆道支架的使用和远离狭窄区域的支架放置，从而延长支架的通畅时间。这些特点使得 EUS-BD 作为胆道引流的主要手术非常有吸引力。越来越多的证据支持使用 EUS 代替 ERCP 作为主要引流手术，而且效果相当。

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Endoscopic Ultrasound Biliary Drainage in Pancreatic Cancer

Endoscopic ultrasound (EUS) guided biliary drainage (BD) is an accepted salvage procedure in patients with distal malignant biliary obstruction (DMBO) when endoscopic retrograde cholangiopancreatography (ERCP) is unsuccessful. The potential advantages of EUS-BD include gastric or duodenal biliary access, utilization of novel biliary stents and stent placement away from the area of stenosis, resulting in longer stent patency. These features make EUS-BD very appealing as a primary procedure for biliary drainage. There is a growing body of evidence supporting the utilization of EUS as a primary drainage procedure instead of ERCP, with comparable outcomes.

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来源期刊

Journal of Gastrointestinal and Liver Diseases 医学-胃肠肝病学

CiteScore

3.20

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： The Journal of Gastrointestinal and Liver Diseases (formerly Romanian Journal of Gastroenterology) publishes papers reporting original clinical and scientific research, which are of a high standard and which contribute to the advancement of knowledge in the field of gastroenterology and hepatology. The field comprises prevention, diagnosis and management of gastrointestinal and hepatobiliary disorders, as well as related molecular genetics, pathophysiology, and epidemiology. The journal also publishes reviews, editorials and short communications on those specific topics. Case reports will be accepted if of great interest and well investigated.