• 主题
高级搜索  >
历史搜索 清空历史
首页> 美国卫生研究院文献>Endoscopy International Open >Endoscopic extra-cavitary drainage of pancreatic necrosis with fully covered self-expanding metal stents (fcSEMS) and staged lavage with a high-flow water jet system
【2h】

Endoscopic extra-cavitary drainage of pancreatic necrosis with fully covered self-expanding metal stents (fcSEMS) and staged lavage with a high-flow water jet system

机译：内窥镜腔内胰腺坏死引流术采用完全覆盖的自膨胀金属支架（fcSEMS）并采用高流量喷水系统分阶段灌洗

代理获取
本网站仅为用户提供外文OA文献查询和代理获取服务，本网站没有原文。下单后我们将采用程序或人工为您竭诚获取高质量的原文，但由于OA文献来源多样且变更频繁，仍可能出现获取不到、文献不完整或与标题不符等情况，如果获取不到我们将提供退款服务。请知悉。
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

>Aim: To present a novel, less-invasive method of endoscopic drainage (ED) for walled-off pancreatic necrosis (WON).We describe the feasibility, success rate, and complications of combined ED extra-cavitary lavage and debridement of WON using a biliary catheter and high-flow water jet system (water pump). >Patients and methods: Endoscopic ultrasound (EUS)-guided drainage was performed with insertion of two 7-Fr, 4-cm double pigtail stents. Subsequently a fully covered self-expanding metal stent (fcSEMS) was placed. The key aspect of the debridement was the insertion of a 5-Fr biliary catheter through or along the fcSEMS into the cavity, with ensuing saline lavage using a high-flow water jet system. The patients were then brought back for repeated, planned endoscopic lavages of the WON. No endoscopic intra-cavitary exploration was performed. >Results: A total of 17 patients (15 men, 2 women; mean age 52.6, range 24 – 69; mean American Society of Anesthesiologists [ASA] score of 3) underwent ED of WON with this new method. The mean initial WON diameter was 9.5 cm, range 8 to 26 cm. The total number of ED was 84, range 2 to 13. The mean stenting period was 42.5 days. The mean follow-up was 51 days, range 3 to 370. A resolution of the WON was achieved in 14 patients (82.3 %). There were no major complications associated with this method. >Conclusion: ED of complex WON with fcSEMS followed by repeated endoscopic extra-cavitary lavage and debridement using a biliary catheter and high-flow water jet system is a minimally invasive, feasible method with high technical and clinical success and minimal complications.
机译：>目的：提出一种新颖的，微创的内镜下引流（ED）治疗壁状胰腺坏死（WON）的方法。我们描述了联合ED腔外治疗的可行性，成功率和并发症使用胆管和高流量水喷射系统（水泵）对WON进行灌洗和清创术。 >患者和方法：内窥镜超声（EUS）引导引流是通过插入两个7-Fr，4 cm双尾纤支架进行的。随后放置一个完全覆盖的自扩张金属支架（fcSEMS）。清创术的关键方面是通过fcSEMS或沿fcSEMS将5-Fr胆管插入腔内，随后使用高流量喷水系统冲洗盐水。然后将患者带回进行WON的反复计划内镜冲洗。没有进行内窥镜腔内探查。 >结果：共有17例患者（男15例，女2例；平均年龄52.6，范围24-69岁；平均美国麻醉医师协会[ASA]评分为3分）接受了这种新方法的WON ED 。平均初始WON直径为9.5 cm，范围为8至26 cm。 ED总数为84，范围为2至13。平均置入期为42.5天。平均随访51天，范围3至370。14例患者达到了WON的分辨率（82.3％）。该方法无重大并发症。 >结论： ED联合fcSEMS ED进行复杂的WON，然后通过胆道导管和高流量注水系统反复内镜腔内灌洗和清创术是一种微创，可行的方法，在技术和临床上均具有很高的成功率，并发症少。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
代理获取

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号