EUS引导下集合和牵引胃造瘘术:一种治疗胰腺管综合征合并胰外瘘的新技术

IF 0.4 Q4 GASTROENTEROLOGY & HEPATOLOGY
Vikas Singla, A. Arora, S. Rana, Manoj Kohle, Shivam Khare, Ashish Kumar, N. Bansal, Praveen Sharma
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引用次数: 0

摘要

背景和目的胰管断连综合征发生外胰瘘导致显著的发病率,通常需要手术治疗。本研究的目的是报告一种内镜下超声引导下的胰管断连综合征和胰外瘘患者的交会和胰管胃造瘘新技术。方法回顾性分析eus引导下行胰外瘘交会胃管造口术的患者资料。胰腺分泌物的内化是通过在消化道和胃之间放置支架来实现的。技术上的成功被定义为在胃道和胃之间放置支架。临床成功的定义是:在肠胃造口术后3个月,切除外置导管,无胰周积液、腹水或外瘘。结果4例患者均为男性,年龄29-45岁,中位年龄33.5岁。技术和临床成功率为100%,无任何手术相关并发症。所有患者均可拔除外置导管。在中位随访10.5个月(8-12个月)期间,2例患者出现支架移位和胰周积液,采用eus引导下的内引流。结论eus引导下牵引胃交会造瘘术是治疗胰外瘘安全有效的方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
EUS-Guided Rendezvous and Tractogastrostomy: A Novel Technique for Disconnected Pancreatic Duct Syndrome with External Pancreatic Fistula
Background and Aims External pancreatic fistula occurring in the setting of disconnected pancreatic duct syndrome leads to significant morbidity, often requiring surgery. The aim of this study is to report a new technique of endoscopic ultrasound (EUS)-guided rendezvous and tractogastrostomy in patients with disconnected pancreatic duct syndrome and external pancreatic fistula. Methods This study is retrospective analysis of the data of the patients with external pancreatic fistula who had undergone EUS-guided rendezvous and tractogastrostomy. Internalization of pancreatic secretions was performed by placing a stent between tract and the stomach. Technical success was defined as placement of stent between the tract and the stomach. Clinical success was defined as removal of external catheter and absence of peripancreatic fluid collection, ascites or external fistula at 3 months after the tractogastrostomy. Results Four patients, all male, with median age of 33.5 years (range: 29–45), underwent EUS-guided tractogastrostomy. Technical and clinical success was 100%, without any procedure related complication. External catheter could be removed in all the patients. During the median follow-up of 10.5 months (range: 8–12), two patients had stent migration and peripancreatic fluid collection, which were managed by EUS-guided internal drainage. Conclusions EUS-guided rendezvous and tractogastrostomy are a safe and effective technique for the treatment of external pancreatic fistula.
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来源期刊
Journal of Digestive Endoscopy
Journal of Digestive Endoscopy GASTROENTEROLOGY & HEPATOLOGY-
自引率
28.60%
发文量
35
审稿时长
22 weeks
期刊介绍: The Journal of Digestive Endoscopy (JDE) is the official publication of the Society of Gastrointestinal Endoscopy of India that has over 1500 members. The society comprises of several key clinicians in this field from different parts of the country and has key international speakers in its advisory board. JDE is a double-blinded peer-reviewed, print and online journal publishing quarterly. It focuses on original investigations, reviews, case reports and clinical images as well as key investigations including but not limited to cholangiopancreatography, fluoroscopy, capsule endoscopy etc.
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