设为首页 | 加入收藏
| 欢迎光临本站!

我的博文

覆膜金属支架在经内镜乳头括约肌切开术难治性出血中的应用

(2014-10-22 12:25:33)

    【摘要】
    目的 探讨覆膜金属支架在内镜下十二指肠乳头括约肌切开术(EST)无法控制的出血中的应用价值。
    方法 回顾性分析2000年1月以来的资料,11年间共开展EST 3460例,发生出血29例(0-84%)。其中4例患者在采用常规方法无法止血后,跨乳头释放全覆膜金属支架进行压迫止血。
    结果 4例患者均顺利放置覆膜金属支架并成功止血。1例支架留置1周后顺利拔除;1例支架于4周内自行脱落;2例患者拒绝拔除支架,通畅时间大于6个月和12个月。放置及拔除支架过程中均未发生并发症。
    结论 对于EST无法控制的出血,放置覆膜金属支架是安全、有效、简便的止血方法。

    【关键词】内窥镜括约肌切开术;止血,内窥镜;自膨式覆膜金属支架


    Covered self-expandable metal stent for uncontrolled bleeding after endoscopic sphincterotomy
    WU Jun, HU Bing.Department of Endoscopy, Eastern Hepatobiliary Hospital, The Second Military Medical University, Shanghai 200438, China
    Corresponding author: HU Bing
    【Abstract】
    Objective   To investigate the role of temporary placement of fully covered self-expandable metal stent (cSEMS) for treatment of uncontrolled bleeding after endoscopic sphincterotomy (EST).
    Methods   From January 2000 to present, a total of 3460 cases of EST were performed, and bleeding after the procedure was complicated in 29 (0-84%) of them, in which 4 could not to be stopped by conventional managements. Covered SEMSs were placed across the major papilla in these 4 patients.
    Results   The stents were successfully placed and hemostasis was achieved in all patients. The stent was removed in 1 patient 1 week later, and spontaneous stent dislodgment occurred in 1 patient within 4 weeks. The other 2 patients rejected to remove the stents, and the patency maintained for more than 6 and 12 months respectively. No complication was observed in procedures of placing and removing stents.
    Conclusion   Covered SEMS placement is a safe, effective and simple method for patients with uncontrolled bleeding after EST.
    【Key words】Endoscopic sphincterotomy;Hemostasis, endoscopic;Covered self-expandable metal stent                        

阅读(1460)评论(0)转载(0)收藏(0)
发布评论
用户名: 登录
全部评论
个人资料
    胡冰 单位:第二军医大学东方肝胆外科医院
    所属科室:
    出生:1964-03-17
更多>>相册
更多>>推荐博文