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全覆膜金属支架治疗内镜乳头括约肌切开术后出血的疗效 被引量:3

Efficacy of full covered metal stents for the treatment of post-endoscopic sphincterotomy bleeding
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摘要 EST是ERCP检查中常用的诊断与治疗操作,EST术后乳头切缘出血发生率为2%~9%[1-2].内镜下止血是其首选治疗方案.如内镜下治疗不能控制出血,则需行动脉栓塞和外科开腹手术治疗,增加了患者创伤和经济负担.目前临床上常用的内镜下控制EST术后出血的方法是金属夹夹闭出血灶和黏膜下注射肾上腺素[3-4].但这两种治疗方法均难以控制EST术后活动性出血,因此,临床上需要更简便有效的内镜下止血措施.近年来,笔者应用全覆膜自膨式金属支架(full covered self-expandable metal stents,FCSEMS)控制EST术后出血,取得了一定的效果.本研究回顾性分析2012年1月至2013年2月成都军区总医院应用FCSEMS治疗4例EST术后出血患者的临床资料,探讨EST术后出血治疗的新方法.
出处 《中华消化外科杂志》 CAS CSCD 北大核心 2014年第7期570-571,共2页 Chinese Journal of Digestive Surgery
基金 成都军区总医院院管课题(424121BJ)
关键词 胆管疾病 括约肌切开术 内窥镜 出血 全覆膜自膨式金属支架 Biliary diseases Sphincterotomy, endoscopic Bleeding Full covered self-expandable metal stents
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  • 1Neng-Ping Li,Jiang-Qi Liu,Zhi-Qiang Zhou,Tao-Ying Ji,Xiao-Yan Cai,Qing-Yun Zhu.Ampulla dilation with different sized balloons to remove common bile duct stones[J].World Journal of Gastroenterology,2013,19(6):903-908. 被引量:5
  • 2张成,安东均,董浩,周党军,王广朝.腹腔镜联合内镜治疗肝外胆管结石610例[J].中华消化外科杂志,2008,7(5). 被引量:14
  • 3Freeman ML, Nelson DB, Sherman S, Haber GB, Herman ME, Dorsher PJ, Moore JP, Fennerty MB, Ryan ME, Shaw MJ, Lande JD, Pheley AM. Complications of endoscopic biliary sphincterotomy. N Engl J Med 1996; 335:909-918.
  • 4roperfido s, Angelini G, Benedetti G, Chilovi F, Costan F, De Berardinis F, De Bemardin M, Ederle A, Fina P, Fratton A. Major early complications from diagnostic and therapeutic ERCP: a prospective multicenter study. Gastrointest Endosc 1998; 48:1-10.
  • 5Masci E, Toti G, Mariani A, Curioni S, Lomazzi A, Dinelli M, Minoli G, Crosta C, Comin U, Fertitta A, Prada A, Passoni GR, Testoni PA. Complications of diagnostic and therapeutic ERCP: a prospective multicenter study. Am J Gastroenterol 2001; 96:417-423.
  • 6Kim HJ, Kim MH, Kim DI, Lee HJ, Myung SJ, Yoo KS, Park ET, Lim BC, Seo DW, Lee SK, Min YI. Endoscopic hemostasis in sphincterotomy-induced hemorrhage: its efficacy and safety. Endoscopy 1999; 31:431-436.
  • 7Leung JW, chan FK, Sung JJ, Chung S. Endoscopic sphincterotomy-induced hemorrhage: a study of risk factors and the role of epinephrine injection. Gastrointest Endosc 1995; 42:550-554.
  • 8Mellinger JD, Ponsky JL. Bleeding after endoscopic sphincterotomy as an underestimated entity. Surg Gynecol Obstet 1991; 172:465-469.
  • 9Ferreira LE, Baron TH. Post-sphincterotomy bleeding: who, what, when, and how. Am J Gastroenterol 2007; 102: 2850-2858.
  • 10Freeman ML, Nelson DB, Sherman S, Haber GB, Fennerty MB, DiSario JA, Ryan ME, Kortan PP, Dorsher PJ, Shaw Mj, Herman ME, Cunningham JT, Moore JP, Silverman WB, Imperial JC, Mackie RD, Jamidar PA, Yakshe PN, Logan GM, Pheley AM. Same-day discharge after endoscopic biliary sphincterotomy: observations from a prospective multicenter complication study. The Multicenter Endoscopic Sphincterotomy (MESH) Study Group. Gastrointest Endosc 1999; 49:580-586.

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