经口胆道镜下无辐射腔内支架置入术。

iGIE Pub Date : 2026-06-01 Epub Date: 2025-10-17 DOI:10.1016/j.igie.2025.10.010
Lin Liu MM, Hongguang Wang MBBS, Liying Tao MM, Qingmei Guo MBBS, Junpeng Liu MM, Shizhu Liu MM, Peng Zhan MBBS
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引用次数: 0

摘要

背景与目的:传统的内镜下自膨胀金属支架(SEMS)放置治疗胃肠道梗阻时需要透视指导。本研究报告无放射经口胆道镜引导下置入SEMS治疗2例消化道梗阻的安全性和有效性。方法:选取2例胆管癌及乙状结肠合并肠梗阻患者作为研究对象。应用经口胆道镜进行无辐射导丝置入和SEMS置入。结果:两例经口无放射线胆道镜下均成功置入导丝和SEMS。它显著缓解了胃肠道阻塞症状。此外,术中、术后均未发生出血、穿孔等不良事件。结论:无辐射经口胆道镜检查可安全有效地辅助SEMS置入,缓解胃肠道肿瘤梗阻症状。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Radiation-free luminal stenting using peroral cholangioscope

Background and Aims

Traditional endoscopic self-expandable metal stent (SEMS) placement necessitates fluoroscopy guidance when treating gastrointestinal obstruction. This study was performed to report the safety and efficacy of radiation-free peroral cholangioscopy-guided SEMS placement in the treatment of 2 cases with gastrointestinal obstruction.

Methods

This study included 2 patients with gastrointestinal obstruction due to cholangiocarcinoma and sigmoid colon cancer. Peroral cholangioscopy was applied for radiation-free guidewire insertion and SEMS placement.

Results

The guidewire insertion and SEMS placement were successfully accomplished by radiation-free peroral cholangioscopy in both cases. It resulted in significant relief of gastrointestinal obstruction symptoms. In addition, no adverse events such as bleeding or perforation were observed intraoperatively and postoperatively.

Conclusions

Radiation-free peroral cholangioscopy may safely and effectively assist SEMS placement to relieve the symptoms of obstruction caused by gastrointestinal tumors.
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