Endoscopic Closure for EUS and ERCP Related Duodenal Perforation by Endoclips.
Endoscopic Closure for EUS and ERCP Related Duodenal Perforation by Endoclips.
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使用 Endoclips 进行内镜下 EUS 和 ERCP 相关十二指肠穿孔闭合
DOI：
10.1155/2016/1051597
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发表时间：
2016
影响因子：
2
通讯作者：
Li Z
中科院分区：
文献类型：
--
作者：
Liu Y;Wang D;Li Z
Objective.在一项来自单中心的回顾性研究中，探讨内镜夹用于闭合内镜超声（EUS）和内镜逆行胰胆管造影术（ERCP）相关十二指肠穿孔的治疗安全性、可行性和有效性。方法.研究纳入了2012年1月至2015年1月期间发生EUS和ERCP相关十二指肠穿孔的患者。所有病例均接受内镜下使用内镜夹闭合，并评价该技术的有效性、可行性和安全性。结果在研究期间，共有17，406例患者接受了EUS和/或ERCP治疗。EUS和ERCP相关的十二指肠穿孔9例（0.05%），其中男性2例，女性7例。平均年龄为69岁（范围：59-79岁）。内镜下闭合成功率为100%。平均手术时间为45 ± 12.5 min。为闭合十二指肠穿孔而放置的内镜夹的平均数量为7 ± 3.2。所有患者均痊愈出院，无严重并发症。结论内镜下使用内镜夹闭合被推荐作为EUS和ERCP相关的十二指肠穿孔的一线治疗。
Objective. To investigate the therapeutic safety, feasibility, and efficacy of endoclips for closing the endoscopic ultrasound (EUS) and endoscopic retrograde cholangiopancreatography (ERCP) related duodenal perforation in a retrospective study from a single center. Methods. Patients who developed EUS and ERCP related duodenal perforation between January 2012 and January 2015 were included in the study. All the cases underwent endoscopic closure by endoclips, and the efficacy, feasibility, and safety of this technique were evaluated. Results. During the study period, a total of 17,406 patients were treated by EUS and/or ERCP. EUS and ERCP related duodenal perforation occurred in 9 cases (0.05%): 2 males and 7 females. The mean age was 69 years (range: 59–79 years). The success rate of endoscopic closure by endoclips was 100%. The mean procedure time was 45 ± 12.5 min. The mean number of endoclips placed for the closure of the duodenal perforation was 7 ± 3.2. All the patients recovered completely without any severe complications. Conclusion. The endoscopic closure by using endoclips is recommended as the first-line treatment for duodenal perforation associated with EUS and ERCP.
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