检索结果-南通市图书馆

Endoscopic pancreaticobiliary drainage with overlength stents to prevent delayed perforation after endoscopic papillectomy:A pilot study

引用

World Journal of Gastroenterology 2020年第44期26卷 7036-7045页

作者： Liang Wu Fang Liu Nan Zhang Xiao-Peng Wang Wen Li International Center for Diagnosis and Treatment of Liver Diseases The Fifth Medical Center of Chinese PLA General HospitalBeijing 100039China Department of Gastroenterology and Hepatology The First Medical Center of Chinese PLA General HospitalBeijing 100853China Department of Gastroenterology and Hepatology Chinese PLA 305 HospitalBeijing 100017China

BACKGROUND Endoscopic papillectomy(EP)is rapidly replacing traditional surgical resection and is a less invasive procedure for the treatment of duodenal papillary tumors in selected *** the expansion of indications,concerns regarding EP include not only technical difficulties,but also the risk of complications,especially delayed duodenal *** perforation after EP is a rare but fatal *** of the artificial ulcer to bile and pancreatic juice is considered to be one of the causes of delayed perforation after *** bile and pancreatic juice away from the wound may help to prevent delayed *** To evaluate the feasibility and safety of placing overlength biliary and pancreatic stents after *** This is a single-center,retrospective *** patients with exposure or injury of the muscularis propria after EP were included.A 7-Fr overlength biliary stent and a 7-Fr overlength pancreatic stent,modified by an endoscopic nasobiliary drainage tube,were placed in the common bile duct and pancreatic duct,respectively,and the bile and pancreatic juice were drained to the proximal *** EP and overlength stents placement were technically feasible in all five patients(63±12 years),with an average operative time of 63.0±5.6 *** the five lesions(median size 20 mm,range 15-35 mm),four achieved en bloc excision and curative *** final histopathological diagnoses of the endoscopic specimen were one tubular adenoma with high-grade dysplasia(HGD),one tubulovillous adenoma with low-grade dysplasia,one hamartomatous polyp with HGD,one poorly differentiated adenocarcinoma and one atypical juvenile polyposis with tubulovillous adenoma,HGD and field cancerization invading the muscularis mucosae and *** were no stent-related complications,but one papillectomy-related complication(mild acute pancreatitis)occurred without any episodes of bleeding,perforation,cholangitis or late-onset duct stenosis.

关键词： Endoscopic papillectomy Major duodenal papilla Delayed perforation Overlength stent Endoscopic retrograde cholangiopancreatography duodenal papillary tumors

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

欢迎您,

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

请选择保存的检索档案：

请选择收藏分类：

通借通还

欢迎您,

建议与咨询 留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

请选择保存的检索档案： 新增检索档案 确定 取消

请选择收藏分类： 新增自定义分类 确定 取消

通借通还

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

请选择保存的检索档案：

请选择收藏分类：