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首页> 外文期刊>Endoscopy International Open >Endoscopic management of iatrogenic EUS-related duodenal perforations with over-the-scope clips
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Endoscopic management of iatrogenic EUS-related duodenal perforations with over-the-scope clips

机译：具有过度范围夹子的认生EUS相关十二指肠穿孔的内窥镜管理

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Background and study aims?Iatrogenic endoscopic ultrasound (EUS) perforations are life-threatening adverse event and to date, surgery has been the main treatment for them. The aim of this study was to assess feasibility and safety of conservative treatment with over-the-scope clips (OTSC). Patients and methods?We performed a retrospective study, including iatrogenic EUS duodenal perforation with conservative endoscopic management from 2011 to August 2018. Patients who initial had surgical management were excluded. Results?In 8504 EUS procedure occurred, 13 perforations occurred (0.15?%). Eleven patients were included in the study, all women. Mean patient age was 75 years (range 68?–?88). Eighth of 11 perforations (72.7?%) were due to a radial probe and three of 11 (27.3?%) were due to a curvilinear probe. Eleven procedures (100?%) were performed as diagnostic. Defect size ranged from 10 to 15?mm. All procedures were successful. Three of eleven patients (27?%) had a stay in intensive care unit for less than 72 hours and length of total hospital stay ranged from 3 to 22 days. Conclusion?Conservative endoscopic treatment of Iatrogenic EUS perforation, with OTSC is feasible, efficient and safe.
机译：背景和研究旨在？性能内窥镜超声（EUS）穿孔是危及生命的不良事件，并且迄今为止，手术是它们的主要待遇。本研究的目的是评估保守治疗的可行性和安全性与范围夹（OTSC）。患者和方法？我们进行了回顾性研究，其中来自2011年至2018年8月的保守内窥镜管理，包括医学eus十二指肠穿孔。初始患者被排除在外。结果？发生在8504 eus程序中，发生了13个穿孔（0.15？％）。所有女性都包含在研究中的11名患者。平均患者年龄为75岁（范围68？ - ？88）。由于径向探针，11个穿孔（72.7〜％）和11（27.3μm）的3个穿孔，因此引起曲线探针。作为诊断进行11个程序（100？％）。缺陷尺寸范围为10至15？mm。所有程序都是成功的。 11名患者中的三个（27？％）留在密集护理单位，少于72小时，总医院住院的长度范围为3至22天。结论？保守内窥镜治疗来自Eusceus穿孔，具有ototsc可行，有效和安全。

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