超声内镜引导下胆囊引流成功治疗恶性胆囊管梗阻

Gastrointestinal Intervention Pub Date : 2017-10-31 DOI:10.18528/GII160023

H. Kim, Jong-chan Lee, Jaihwan Kim, Jin-Hyeok Hwang

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引用次数: 0

摘要

超声内镜引导下胆囊引流术(EUS-GBD)已成为治疗恶性胆囊管梗阻的一种替代引流方法。然而，在严重的胆囊壁增厚并伴有肿瘤或炎症的情况下，径迹扩张手术是困难的。采用常规EUS-GBD入路扩张胆囊与胃/十二指肠之间的内瘘道失败时，考虑采用外瘘道交会技术。本文报告一位56岁男性胰腺癌合并恶性胆囊管阻塞，经皮经肝胆囊引流术。该患者在常规EUS-GBD内径扩张手术失败后，采用交会EUS-GBD技术成功治疗。版权所有©2017，胃肠干预学会。版权所有。

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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A successful rendezvous endoscopic ultrasonography-guided gallbladder drainage in malignant cystic duct obstruction

Endoscopic ultrasonography-guided gallbladder drainage (EUS-GBD) has been developed as an alternative drainage method in patients with malignant cystic duct obstruction. However, the procedure of track dilation is difficult in case of severe gallbladder wall thickening with tumor involvement or inflammation. The rendezvous technique via external fistulous track is considered in failed attempts to dilate an internal track between the gallbladder and the stomach/duodenum using conventional approach of EUS-GBD. This report presents a 56-year-old man with pancreatic cancer with malignant cystic duct obstruction who underwent percutaneous transhepatic gallbladder drainage. The patient was successfully treated using rendezvous EUS-GBD technique after he failed the conventional EUS-GBD procedure of internal track dilation. Copyright © 2017, Society of Gastrointestinal Intervention. All rights reserved.

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来源期刊

Gastrointestinal Intervention

自引率

0.00%

发文量

审稿时长

24 weeks

期刊介绍： IJGII (pISSN 2636-0004, eISSN 2636-0012) was published four times a year on the last day of January, April, July, and October, which has effected from January 1 in 2019. This Journal was first published biannually on June and December, beginning in December 2012 under the title ‘Gastrointestinal Intervention’ (former pISSN 2213-1795, eISSN 2213-1809) and was changed to be published three times a year from 2016. Commencing with the January 2019 issue, the Journal was renamed ‘International Journal of Gastrointestinal Intervention’. As the official journal of the Society of Gastrointestinal Intervention (SGI), International Journal of Gastrointestinal Intervention (IJGII) delivers original, peer-reviewed articles for gastroenterologists, interventional radiologists, surgeons, gastrointestinal oncologists, nurses and technicians who need current and reliable information on the interventional treatment of gastrointestinal and hepatopancreaticobiliary diseases. Regular features also include ‘state-of-the-art’ review articles by leading authorities throughout the world. IJGII will become an international forum for the description and discussion of the various aspects of interventional radiology, endoscopy and minimally invasive surgery.