EUS-guided pancreaticogastrostomy
EUS-guided pancreaticogastrostomy
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DOI：
10.1067/mge.2002.125547
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发表时间：
2002-07-01
影响因子：
7.7
通讯作者：
Devière, J
中科院分区：
文献类型：
--
作者：
François, E;Kahaleh, M;Devière, J
背景资料：慢性胰腺炎的疼痛可能是由胰管高压引起的，主胰管内窥镜引流可以缓解疼痛。当经乳头进入主胆管扩张部分无法获得时，传统的内窥镜引流是不可能的。使用介入EUS进行胰胃吻合术在这样的cases.Methods：4例患者提出了疼痛和扩张的主胰管近端一个完整的梗阻。EUS用于进入扩张的导管并创建胰胃吻合术。后者的通畅性保持通过放置胰胃stent.Observations：EUS引导下胰胃吻合术进行没有重大并发症。4例患者中有3例在中位随访1年时疼痛得到了满意的缓解。结论：EUS引导下胰胃吻合术可能是一种很有前途的新技术，用于胰腺引流和疼痛缓解时，传统的经乳头进入胰管是不可能的。
Background: The pain of chronic pancreatitis can be caused by pancreatic ductal hypertension, and endoscopic drainage of the main pancreatic duct can provide relief. When transpapillary access to a dilated portion of the main duct cannot be obtained, conventional endoscopic drainage is not possible. The use of interventional EUS to perform a pancreaticogastrostomy in such cases is described.Methods: Four patients presented with pain and a dilated main pancreatic duct proximal to a complete obstruction. EUS was used to access the dilated duct and create a pancreaticogastrostomy. Patency of the latter was maintained by placement of a pancreaticogastric stent.Observations: EUS-guided pancreaticogastrostomy was performed without major complication. Three of 4 patients had satisfactory relief of pain at a median follow-up of 1 year.Conclusion: EUS-guided pancreaticogastrostomy may be a promising new technique for pancreatic drainage and pain relief when conventional transpapillary access to the pancreatic duct is not possible.