在内视镜的指导超声的胆汁的排水以后的 Endocoil 放置可以阻止一条胆汁漏缝

查看全文 作　　者：Schalk Willem van der Merwe;Jones Omoshoro-Jones;Charles Sanyika

机构地区：Hepatology and GI Research Laboratory,Department of Immunology,University of Pretoria,Pretoria 0002,South Africa;Interventional Endoscopy Unit,Pretoria East Hospital,Pretoria 0044,South Africa;Department of Surgery,Chris HaniBaragwanath Hospital and Faculty of Health Sciences,University of the Witwatersrand,Johannesburg 2013,South Africa;Department of Interventional radiology,WITS Donald Gordon Hospital,Johannesburg 2193,South Africa

出　　处：《World Journal of Gastrointestinal Endoscopy》索引2013年第5卷第5期,共5页

摘　　要：AIM:To further reduce the risk of bleeding or bile leakage.METHODS:We performed endoscopic ultrasound guided biliary drainage in 6 patients in whom endoscopic retrograde cholangiopancreatography(ERCP) had failed.Biliary access of a dilated segment 2 or 3 duct was achieved from the stomach using a 19G needle.After radiologically confirming access a guide wire was placed,a transhepatic tract created using a 6 Fr cystotome followed by balloon dilation of the stricture and antegrade metallic stent placement across the malignant obstruction.This was followed by placement of an endocoil in the transhepatic tract.RESULTS:Dilated segmental ducts were observed in all patients with the linear endoscopic ultrasound scope from the proximal stomach.Transgastric biliary access was obtained using a 19G needle in all patients.Biliary drainage was achieved in all patients.Placement of an endocoil was possible in 5/6 patients.All patients responded to biliary drainage and no complications occurred.CONCLUSION:We show that placing endocoils at the time of endoscopic ultrasound guided biliary stenting is feasible and may reduce the risk of bleeding or bile leakage. 关键词：ENDOSCOPIC ULTRASOUND BILIARY drainage TRANSHEPATIC Endocoil

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在内视镜的指导超声的胆汁的排水以后的 Endocoil 放置可以阻止一条胆汁漏缝

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