文章：

内镜超声引导下胆道引流的争议

Controversies in Endoscopic Ultrasound-Guided Biliary Drainage

原文发布日期：23 April 2024

DOI: 10.3390/cancers16091616

类型: Article

开放获取: 是

英文摘要：

In this 14th document in a series of papers entitled “Controversies in Endoscopic Ultrasound” we discuss various aspects of EUS-guided biliary drainage that are debated in the literature and in practice. Endoscopic retrograde cholangiography is still the reference technique for therapeutic biliary access, but EUS-guided techniques for biliary access and drainage have developed into safe and highly effective alternative options. However, EUS-guided biliary drainage techniques are technically demanding procedures for which few training models are currently available. Different access routes require modifications to the basic technique and specific instruments. In experienced hands, percutaneous transhepatic cholangiodrainage is also a good alternative. Therefore, in this paper, we compare arguments for different options of biliary drainage and different technical modifications.

摘要翻译： 

在题为“内镜超声争议”系列论文的第14篇文件中，我们探讨了文献与实践中关于超声内镜引导下胆道引流的多个争议性议题。内镜逆行胆胰管造影术仍是治疗性胆道介入的基准技术，但超声内镜引导的胆道介入与引流技术已发展成为安全高效的重要替代方案。然而，超声内镜引导胆道引流技术操作要求高，目前可用的培训模型有限。不同穿刺路径需对基础技术及专用器械进行相应调整。经验丰富的操作者亦可选择经皮经肝胆管引流作为优质替代方案。本文通过系统比较不同胆道引流方案及技术改良路径的学术论据，为临床决策提供循证依据。

原文链接：

Controversies in Endoscopic Ultrasound-Guided Biliary Drainage