复杂胆道问题的内镜治疗

IF 0.4 Q4 GASTROENTEROLOGY & HEPATOLOGY

Journal of Digestive Endoscopy Pub Date : 2023-03-01 DOI:10.1055/s-0043-1762575

Mayur G. Gattani, S. Mukewar, A. Kulkarni, Bhushan Bhaware, Saurabh S. Mukewar

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引用次数: 0

摘要

内镜干预在梗阻性黄疸的治疗中越来越受欢迎。在这个案例研究中，我们提出了一个复杂的铋型4门狭窄的情况下，表现为梗阻性黄疸的老年妇女。通过放置三个金属支架-两个ERCP和一个内镜下超声(EUS)引导的肝胃造口术成功完成了完全的内镜胆道引流。她后来出现了胆囊炎，通过EUS引导下使用烧灼增强腔内金属支架进行胆囊引流成功解决。因此，在内镜干预下实现了完整的胆道内引流。

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Endoscopic Management of a Complex Biliary Problem

Abstract Endoscopic interventions have become increasingly popular in the management of obstructive jaundice. In this case study, we present a case of complex Bismuth type 4 hilar stricture in an elderly lady presenting with obstructive jaundice. Complete endoscopic biliary drainage was accomplished successfully by placement of three metal stents – two with ERCP and one with Endoscopic Ultrasound (EUS) guided hepatico-gastrostomy. She developed cholecystitis later, which was successfully addressed by EUS guided gallbladder drainage using a cautery enhanced lumen apposing metal stent. Thus, a complete internal biliary drainage was achieved with endoscopic interventions.

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来源期刊

Journal of Digestive Endoscopy GASTROENTEROLOGY & HEPATOLOGY-

自引率

28.60%

发文量

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.