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METHOD OF ENDOSCOPIC TREATMENTS FESTER PANCREATIC PSEUDOCYSTS

机译:内镜治疗方法可预防胰腺假性囊肿

摘要

FIELD: medicine.;SUBSTANCE: endoscope is introduced into superior gastrointestinal tract. Posterior wall of stomach or duodenum is burned with a needle-knife papillotome within greatest bulging of pseudocyst into lumen thereof. After posterior wall of stomach or duodenum is burned with a needle-knife papillotome, a stent 10 or 11 Fr is brought in the formed fistula. Then, at the distance 2-3 cm from the first fistula, a needle-knife papillotome forms the second even fistula. Through the second fistula, polyvinyl chloride pig-tail probe is inserted into the cyst cavity. One end of the probe is left in the cavity of fester pseudocyst. The other end of the probe is delivered through nose. The pig-tail probe is removed after reduction of inflammation, while the stent 10 or 11 Fr is removed from the pseudocyst cavity 3 months later.;EFFECT: possibility to deliver antiseptic solutions and antibiotics directly into purulent cavity, to generate internal fistula on the stent to provide physiology of diversion of pancreatic juice in gastrointestinal lumen, to reduce risk of haemorrhage, to ensure minimal invasiveness of surgical interventions and appropriate drainage.;1 dwg, 1 ex
机译:领域:医学。;物质:内窥镜被引入上消化道。胃或十二指肠的后壁在最大的假性囊肿向其内腔隆起的过程中用针刀乳头刀进行灼伤。在用针刀乳头刀将胃或十二指肠的后壁烧伤后,将支架10或11 Fr放入形成的瘘管中。然后,在距第一个瘘管2-3 cm的距离处,用针刀乳头刀形成第二个均匀的瘘管。通过第二个瘘管,将聚氯乙烯尾纤探针插入到囊腔中。探针的一端留在溃烂性假性囊肿的腔内。探头的另一端通过鼻子传送。减轻炎症后,将猪尾探针取出,而在3个月后从假性囊腔中取出支架10或11Fr。支架提供消化道腔内胰液转移的生理功能,以减少出血的风险,确保外科手术干预的微创性和适当的引流。; 1 dwg,1 ex

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