由于EUS-GBD术后立即进行ERCP会很困难,因此若此时发现有胆总管结石,即使没有胆管炎,我们也会切换到经乳头的引流途径。 在EUS扫查时,基本动作是以肩部为轴线进行左臂的旋转(shoulder turn)。在慢慢回拉内镜的同时进行 shoulder turn使左臂逆时针旋转,沿着胆总管上端一路追查,可扫查到胆囊管~胆囊。此时,画面左侧为...
将相关资料、文献进行整理归纳,对EUS-GBD操作的技巧进行介绍。水平有限,如有错误,欢迎指正。 接上文 四、穿刺 确定好内镜位置后,将19G的FNA穿刺针插入钳道孔并固定(此时必须通过内镜或超声图像确认鞘管已在前端露出)。拔出穿刺针的芯针,装上注射器并施负压(图1)。 图1 安装穿刺针,接上注射器 穿刺部位为胆囊...
网络内镜超声引导透壁胆囊引流 网络释义 1. 内镜超声引导透壁胆囊引流 ...应答和不适合行急诊胆囊切除术的急性胆囊炎患者而言,内镜超声引导透壁胆囊引流(EUS-GBD)与经皮经肝胆囊引流(PTGBD… news.medlive.cn|基于 1 个网页
Hijioka, S., Hara, K., Mizuno, N., Kuwahara, T., Okuno, N. (2019). EUS-BD and EUS-GBD. In: Mine, T., Fujita, R. (eds) Advanced Therapeutic Endoscopy for Pancreatico-Biliary Diseases. Springer, Tokyo. https://doi.org/10.1007/978-4-431-56009-8_11...
Conclusions In a real-life setting, conversion from PTGBD to EUS-GBD after acute cholecystitis resolution is a feasible technique that requires a thorough patient selection.doi:10.1055/s-0044-1783755Buonocore, M. R.Biloslavo, A.Pedaci, M....
In non-surgical candidates, endoscopic ultrasound-guided gallbladder drainage (EUS-GBD) a first-line alternative for gallbladder decompression. Single-session ERCP and EUS-GBD provides definitive management of biliary obstruction and prevention of future biliary complications without the need for surgical ...
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Conclusions This real-world, multicentre data demonstrates EUS-GBD with LAMS is safe and effective for D-MBO where ERCP is not feasible. However, this was a highly selected group of patients and further studies are needed to determine the place of this technique alongside other EUS-biliary ...
Introduction: EUS-GBD for internalization of prior percutaneous cholecystostomy may be technically challenging. Case: Acute cholecystitis in patient is drained percutaneously. Elective EUS-GBD is offered. The collapsed gallbladder is imaged from the antrum. Saline injected through the percutaneous drain ...
ID: 3520449 ENDOSCOPIC ULTRASOUND-GUIDED TRANSMURAL GALLBLADDER DRAINAGE (EUS-GBD) VERSUS PERCUTANEOUS TRANSHEPATIC GALLBLADDER DRAINAGE (PT-GBD) IN HIGH-RISK PATIENTS WITH ACUTE CHOLECYSTITIS - A SYSTEMATIC REVIEW AND META-ANALYSISdoi:10.1016/j.gie.2021.03.476Sami Ghazaleh...