Просмотренные публикации

QR-код этой страницы

Для продолжения изучения на мобильном устройстве ПРОСКАНИРУЙТЕ QR-код с помощью спец. программы или фотокамеры мобильного устройства

Случайный выбор

данная функция, случайным образом выбирает информацию для Вашего изучения,
запустите выбор нажав кнопку ниже

Обратная связь
Напишите нам

Поделитесь своими идеями по улучшению нашей работы.
Прикрепить файл или скриншот удалить
Закрытая часть портала предназначена для только для работников здравоохранения. Оставив свой e-mail и специалищацию, Вы подтверждаете, что являетесь работником здравоохранения и что Вы ознакомились с текстом и поняли его.


Сообщение об ошибке
Что улучшить?

Поделитесь своими идеями по улучшению нашей работы.
Прикрепить файл или скриншот удалить
Закрытая часть портала предназначена для только для работников здравоохранения. Оставив свой e-mail и специалищацию, Вы подтверждаете, что являетесь работником здравоохранения и что Вы ознакомились с текстом и поняли его.


Главная Статьи Эндоскопическое лечение камней общего желчного протока: руководство Европейского общества желудочно-кишечной эндоскопии (ESGE)

Статьи: Эндоскопическое лечение камней общего желчного протока: руководство Европейского общества желудочно-кишечной эндоскопии (ESGE)

35 мин
Авторы: Gianpiero Manes 1 Gregorios Paspatis 2 Lars Aabakken 2019г.
Об авторах: 1. Azienda Ospedaliera "Guido Salvini", Garbagnate Milanese · Department of Gastroenterology and Endoscopy
2. General Hospital of Heraklion Venizeleio and Pananio

Аннотация:

Эндоскопическое лечение камней общего желчного протока: руководство Европейского общества желудочно-кишечной эндоскопии (ESGE) и обновление руководства Sociedade Portuguesa de Endoscopia Digestiva (SPED) 2019


Основные рекомендации
ESGE рекомендует предлагать удаление камней всем пациентам с общими камнями желчных протоков, симптоматическими или нет, которые достаточно приспособлены, чтобы переносить вмешательство.
Сильная рекомендация, доказательства низкого качества.

ESGE рекомендует тесты функции печени и УЗИ брюшной полости в качестве начальных диагностических шагов при подозрении на камни общего желчного протока. Сочетание этих тестов определяет вероятность наличия общих камней желчных протоков.
Сильная рекомендация, умеренное качество доказательств.

ESGE рекомендует проводить эндоскопическую ультрасонографию или магнитно-резонансную холангиопанкреатографию для диагностики камней общего желчного протока у пациентов с постоянным клиническим подозрением, но недостаточными данными о камнях на УЗИ брюшной полости.
Сильная рекомендация, умеренное качество доказательств.

ESGE рекомендует следующие сроки для желчного дренажа, предпочтительно эндоскопического, у пациентов с острым холангитом, классифицированные в соответствии с пересмотром Токийских руководящих принципов 2018 года:
- тяжелые, как можно скорее и в течение 12 часов для пациентов с септическим шоком
- умеренные, в течение 48 - 72 часа
- мягкий, факультативный.
Сильная рекомендация, доказательства низкого качества.

ESGE рекомендует эндоскопическое размещение временного желчного пластикового стента у пациентов с безвозвратными желчными камнями, которые требуют дренирования желчных путей.
Сильная рекомендация, умеренное качество доказательств.

ESGE рекомендует ограниченную сфинктеротомию в сочетании с эндоскопической папиллярной дилатацией большого баллона в качестве первой линии для удаления сложных камней общего желчного протока.
Сильная рекомендация, высокое качество доказательств.

ESGE рекомендует использовать внутрипросветную литотрипсию с помощью холангиоскопии (электрогидравлическую или лазерную) в качестве эффективного и безопасного лечения сложных камней желчных протоков.
Сильная рекомендация, умеренное качество доказательств.

ESGE рекомендует проводить лапароскопическую холецистэктомию в течение 2 недель после ERCP для пациентов, лечившихся от холедохолитиаза, чтобы снизить уровень конверсии и риск рецидивов желчных протоков.
Сильная рекомендация, умеренное качество доказательств.

Эндоскопическое лечение камней общего желчного протока: руководство как проводится Европейского общества желудочно-кишечной эндоскопии (ESGE)

1 / 168
Оцените материал:

Главное в публикации: 

  • Четко указаны алгоритмы и тактика при холедохолитиазе на современном уровне
  • Дана рекомендация разрешать холедохолитиаз тотально всем

Вывод:

DOI: 10.1055/a-0862-0346 Endoscopy 2019; 51(05): 472-491 © Georg Thieme Verlag KG Stuttgart· New York

Список литературы:

References 1. Munson MS, Gartell PC, McGinn FP. Does selective peroperative cholangiography result in missed common bile duct stones? J R Coll Surg Edinb 1993; 38: 220-224 2. Soper NJ, Dunnegan DL. Routine versus selective intra-operative cholangiography during laparoscopic cholecystectomy. World J Surg 1992;16:1133-1140 3. Nies C, Bauknecht F, Groth C et al. [Intraoperative cholangiography as a routine method? A prospective, controlled, randomized study]. Chirurg 1997; 68: 892-897 4. Khan OA, Balaji S, Branagan G et al. Randomized clinical trial of routine on-table cholangiography during laparoscopic cholecystectomy. Br J Surg 2011; 98: 362-367 5. Hauer-Jensen M, Karesen R, Nygaard К et al. Prospective randomized study of routine intraoperative cholangiography during open cholecystectomy: long-term follow-up and multivariate analysis of predictors of choledocholithiasis. Surgery 1993; 113: 318-323 6. Barkun AN, Barkun JS, Fried GM et al. Useful predictors of bile duct stones in patients undergoing laparoscopic cholecystectomy. McGill Gallstone Treatment Group. Ann Surg 1994; 220: 32-39 7. Onken JE, Brazer SR, Eisen GM et al. Predicting the presence of choledocholithiasis in patients with symptomatic cholelithiasis. Am J Gastroenterol 1996; 91: 762-767 8. Prat F, Meduri B, Ducot В et al. Prediction of common bile duct stones by noninvasive tests. Ann Surg 1999; 229: 362-368 9. Abboud PA, Malet PF, Berlin JA et al. Predictors of common bile duct stones prior to cholecystectomy: a meta-analysis. Gastrointest Endosc 1996; 44: 450-455 10. Tse F, Barkun JS, Barkun AN. The elective evaluation of patients with suspected choledocholithiasis undergoing laparoscopic cholecystectomy. Gastrointest Endosc 2004; 60: 437-448 11. Sauter G, Grabein B, Huber G et al. Antibiotic prophylaxis of infectious complications with endoscopic retrograde cholangiopancreatography. A randomized controlled study. Endoscopy 1990; 22: 164-167 12. Lorenz R, Lehn N, Bom P et al. [Antibiotic prophylaxis using cefuroxime in bile duct endoscopy], Dtsch Med Wochenschr 1996; 121: 223-230 13. van den Hazel SJ, Speelman P. Dankert J et al. Piperacillin to prevent cholangitis after endoscopic retrograde cholangiopancreatography. A randomized, controlled trial. Ann Intern Med 1996; 125: 442^447 14. Harris A, Chan AC, Torres-Viera C et al. Meta-analysis of antibiotic prophylaxis in endoscopic retrograde cholangiopancreatography (ERCP). Endoscopy 1999; 31: 718-724 15. Bai Y, Gao F, Gao J et al. Prophylactic antibiotics cannot prevent endoscopic retrograde cholangiopancreatography-induced cholangitis: a meta-analysis. Pancreas 2009; 38: 126-130 16. Niederau C, Pohlmann U, Lubke H et al. Prophylactic antibiotic treatment in therapeutic or complicated diagnostic ERCP: results of a randomized controlled clinical study. Gastrointest Endosc 1994; 40: 533-537 17. Byl B, Deviere J, Struelens MJ et al. Antibiotic prophylaxis for infectious complications after therapeutic endoscopic retrograde cholangiopancreatography: a randomized, double-blind, placebo-controlled study. Clin Infect Dis 1995; 20:1236-1240 18. Raty S, Sand J, Pulkkinen M et al. Post-ERCP pancreatitis: reduction by routine antibiotics. J Gastrointest Surg 2001; 5: 339-345; discussion 345 19. Brand M, Bizos D, O'Farrell P, Jr. Antibiotic prophylaxis for patients undergoing elective endoscopic retrograde cholangiopancreatography. Cochrane Database Syst Rev 2010: CD007345 20. Chan AC, Ng EK, Chung SC et al. Common bile duct stones become smaller after endoscopic biliary stenting. Endoscopy 1998; 30: 356-359 21. Katsinelos P, Galanis I, Pilpilidis I et al. The effect of indwelling endoprosthesis on stone size or fragmentation after long-term treatment with biliary stenting for large stones. Surg Endosc 2003; 17:1552-1555 22. Katsinelos P. Kountouras J, Paroutoglou G et al. Combination of endoprostheses and oral ursodeoxycholic acid or placebo in the treatment of difficult to extract common bile duct stones. Dig Liver Dis 2008; 40: 453-459 23. Han J, Moon JH, Koo HC et al. Effect of biliary stenting combined with ursodeoxycholic acid and terpene treatment on retained common bile duct stones in elderly patients: a multicenter study. Am J Gastroenterol 2009; 104: 2418-2421 24. Honuchi A, Nakayama Y, Kajiyama M et al. Biliary stenting in the management of large or multiple common bile duct stones. Gastrointest Endosc 2010; 71:1200-1203 el202 25. Lee TH. Han JH, Kim HJ et al. Is the addition of choleretic agents in multiple double-pigtail biliary stents effective for difficult common bile duct stones in elderly patients? A prospective, multicenter study. Gastrointest Endosc 2011; 74: 96-102 26. Hong WD. Zhu QH, Huang QK Endoscopic sphincterotomy plus endoprostheses in the treatment of large or multiple common bile duct stones. Dig Endosc 2011; 23: 240-243 27. Fan Z, Hawes R, Lawrence C et al. Analysis of plastic stents in the treatment of large common bile duct stones in 45 patients. Dig Endosc 2011;23:86-90 28. Ye X, Huai J, Sun X. Effectiveness and safety of biliary stenting in the management of difficult common bile duct stones in elderly patients. Turk J Gastroenterol 2016; 2T. 30-36 29. Maxton DG, Tweedie DE, Martin DF. Retained common bile duct stones after endoscopic sphincterotomy: temporary and longterm treatment with biliary stenting. Gut 1995; 36: 446-449 30. Jain SK, Stein R, Bhuva M et al. Pigtail stents: an alternative in the treatment of difficult bile duct stones. Gastrointest Endosc 2000; 52: 490-493 31. Minami A, Fujita R. A new technique for removal of bile duct stones with an expandable metallic stent. Gastrointest Endosc 2003; 57: 945-948 32. Cerefice M, Sauer B, Javaid M et al. Complex biliary stones: treatment with removable self-expandable metal stents: a new approach (with videos). Gastrointest Endosc 2011; 74: 520-526 33. Hartery К, Lee CS, Doherty GA et al. Covered self-expanding metal stents for the management of common bile duct stones. Gastrointest Endosc 2017; 85:181-186 34. Bergman JJ, Rauws EA. Tijssen JG et al. Bihar}' endoprostheses in elderly patients with endoscopically irretrievable common bile duct stones: report on 117 patients. Gastrointest Endosc 1995; 42: 195-201 35. Chopra KB, Peters RA, OToole PA et al. Randomised study of endoscopic biliary endoprosthesis versus duct clearance for bileduct stones in high-risk patients. Lancet 1996; 348: 791-793 36. De Palma GD, Catanzano C. Stenting or surgery for treatment of irretrievable common bile duct calculi in elderly patients? Am J Surg 1999; 178: 390-393 37. De Palma GD, Galloro G, Siciliano S et al. Endoscopic stenting for definitive treatment of irretrievable common bile duct calculi. A long-term follow-up study of 49 patients. Hepatogastroenterology 2001; 48: 56-58 38. Etui CK, Lai КС, Ng M et al. Retained common bile duct stones: a comparison between biliary stenting and complete clearance of stones by electrohydraulic lithotripsy. Aliment Pharmacol Ther 2003; 17: 289-296 39. Pisello F, Geraci G, Li Volsi F et al. Permanent stenting in "unextractable" common bile duct stones in high risk patients. A prospective randomized study comparing two different stents. Langenbecks Arch Surg 2008; 393: 857-863 40. Heo JH. Kang DH, Jung HJ et al. Endoscopic sphincterotomy plus large-balloon dilation versus endoscopic sphincterotomy for removal of bile-duct stones. Gastrointest Endosc 2007; 66: 720-726; quiz 768,771 41. Kim HG, Cheon YK. Cho YD et al. Small sphincterotomy combined with endoscopic papillary large balloon dilation versus sphincterotomy. World J Gastroenterol 2009; 15: 4298^4304 42. Stefanidis G, Viazis N, Pleskow D et al. Large balloon dilation vs. mechanical lithotripsy for the management of large bile duct stones: a prospective randomized study. Am J Gastroenterol 2011; 106: 278-285 43. Teoh AY, Cheung FK, Hu В et al. Randomized trial of endoscopic sphincterotomy with balloon dilation versus endoscopic sphincterotomy alone for removal of bile duct stones. Gastroenterology 2013; 144: 341-345 e341 44. Li G, Pang Q, Zhang X et al. Dilation-assisted stone extraction: an alternative method for removal of common bile duct stones. Dig Dis Sci2014; 59: 857-864 45. Jun Bo Q, Li Hua X, Tian Min C et al. Small endoscopic sphincterotomy plus large-balloon dilation for removal of large common bile duct stones during ERCP. Pak J Med Sci 2013; 29: 907-912 46. Karsenti D, Coron E, Vanbiervliet G et al. Complete endoscopic sphincterotomy with vs. without large-balloon dilation for the removal of large bile duct stones: randomized multicenter study. Endoscopy 2017; 49: 968-976 47. Yang XM. Hu B. Endoscopic sphincterotomy plus large-balloon dilation vs endoscopic sphincterotomy for choledochohthiasis: a meta¬analysis. World J Gastroenterol 2013; 19: 9453-9460 48. Feng Y, Zhu H, Chen X et al. Comparison of endoscopic papillary large balloon dilation and endoscopic sphincterotomy for retrieval of choledochohthiasis: a meta-analysis of randomized controlled trials. J Gastroenterol 2012; 47: 655-663 49. Jin PP, Cheng JF, Liu D et al. Endoscopic papillary large balloon dilation vs endoscopic sphincterotomy for retrieval of common bile duct stones: a meta-analysis. World J Gastroenterol 2014; 20: 5548-5556 50. Madhoun MF, Warn S, Hong S et al. Endoscopic papillary large balloon dilation reduces the need for mechanical hthotnpsy in patients with large bile duct stones: a systematic review and meta-analysis. Diagn Ther Endosc 2014; 2014: 309618 51. Liu Y, Su P, Lin Y et al. Endoscopic sphincterotomy plus balloon dilation versus endoscopic sphincterotomy for choledochohthiasis: A meta-analysis. J Gastroenterol Hepatol 2013; 28: 937-945 52. Chang WH, Chu CH, Wang ТЕ et al. Outcome of simple use of mechanical hthotnpsy of difficult common bile duct stones. World J Gastroenterol 2005; 11: 593-596 53. Garg PK, Tandon RK, Ahuja V et al. Predictors of unsuccessful mechanical hthotnpsy and endoscopic clearance of large bile duct stones. Gastrointest Endosc 2004; 59: 601-605 54. Cipolletta L, Costamagna G, Bianco MA et al. Endoscopic mechanical lithotripsy of difficult common bile duct stones. Br J Surg 1997; 84:1407-1409 55. Lee SH, Park JK Yoon WJ et al. How to predict the outcome of endoscopic mechanical lithotripsy in patients with difficult bile duct stones? Scand J Gastroenterol 2007; 42: 1006-1010 56. Chung SC, Leung JW, Leong HT et al. Mechanical lithotripsy of large common bile duct stones using a basket. Br J Surg 1991; 78: 1448-1450 57. Hintze RE, Adler A, Veltzke W. Outcome of mechanical lithotripsy of bile duct stones in an unselected series of 704 patients. Hepatogastroenterology 1996; 43: 473-476 58. Korrapati P, Ciolino J, Warn S et al. The efficacy of peroral cholangioscopy for difficult bile duct stones and indeterminate strictures: a systematic review and meta-analysis. Endosc Int Open 2016; 4: E263-E275 59. Farrell JJ, Bounds BC, Al-Shalabi S et al. Single-operator duodenoscope-assisted cholangioscopy is an effective alternative in the management of choledocholithiasis not removed by conventional methods, including mechanical lithotripsy. Endoscopy 2005; 37: 542- 547 60. Chen YK, Parsi MA, Binmoeller KF et al. Single-operator cholangioscopy in patients requiring evaluation of bile duct disease or therapy of biliary stones (with videos). Gastrointest Endosc 2011; 74: 805-814 61. Maydeo A, Kwek BE, Bhandari S et al. Single-operator cholangioscopy-guided laser lithotripsy in patients with difficult biliary and pancreatic ductal stones (with videos). Gastrointest Endosc 2011; 74: 1308-1314 62. Patel SN, Rosenkranz L, Hooks В et al. Holmium-yttrium aluminum garnet laser lithotripsy in the treatment of biliary calculi using single-operator cholangioscopy: a multicenter experience (with video). Gastrointest Endosc 2014; 79: 344-348 63. Buxbaum J, Sahakian A, Ko C et al. Randomized trial of cholangioscopy-guided laser lithotripsy versus conventional therapy for large bile duct stones (with videos). Gastrointest Endosc 2018; 87: 1050-1060 64. Reinders JS, Goud A, Timmer R et al. Early laparoscopic cholecystectomy improves outcomes after endoscopic sphincterotomy for choledochocystolithiasis. Gastroenterology'2010; 138: 2315-2320 65. de Vries A, Donkervoort SC, van Geloven AA et al. Conversion rate of laparoscopic cholecystectomy after endoscopic retrograde cholangiography in the treatment of choledocholithiasis: does the time interval matter? Surg Endosc 2005; 19: 996-1001 66. Schiphorst AH, Besselink MG, Boerma D et al. Timing of cholecystectomy after endoscopic sphincterotomy for common bile duct stones. Surg Endosc 2008; 22: 2046-2050 67. Нашу A, Hennekinne S, Pessaux P et al. Endoscopic sphincterotomy prior to laparoscopic cholecystectomy for the treatment of cholelithiasis. Surg Endosc 2003; 17: 872-875 68. Boerma D, Rauws EA, Keulemans YC et al. Wait-and-see policy or laparoscopic cholecystectomy after endoscopic sphincterotomy for bile-duct stones: a randomised trial. Lancet 2002; 360: 761-765 69. Lau JY, Leow CK, Fung TM et al. Cholecystectomy or gallbladder in situ after endoscopic sphincterotomy and bile duct stone removal in Chinese patients. Gastroenterology 2006; 130: 96-103 70. Heo J, Jung MK. Cho CM. Should prophylactic cholecystectomy be performed in patients with concomitant gallstones after endoscopic sphincterotomy for bile duct stones? Surg Endosc 2015; 29:1574-1579 71. Zargar SA, Mushtaq M, Beg MA et al. Wait-and-see policy versus cholecystectomy after endoscopic sphincterotomy for bile-duct stones in high-risk patients with co-existing gallbladder stones: a prospective randomised trial. Arab J Gastroenterol 2014; 15: 24-26 72. Donkervoort SC, van Ruler O, Dijksman LM et al. Identification of risk factors for an unfavorable laparoscopic cholecystectomy course after endoscopic retrograde cholangiography in the treatment of choledocholithiasis. Surg Endosc 2010; 24: 798-804 73. Miscusi G, Gasparrini M, Petruzziello L et al. [Endolaparoscopic "Rendez-vous" in the treatment of cholecysto-choledochal calculosis], GChir 1997; 18: 655-657 74. Cavina E, Franceschi M, Sidoti F et al. Laparo-endoscopic "rendezvous": a new technique in the choledocholithiasis treatment. Hepatogastroenterology 1998; 45:1430-1435 75. Filauro M, Comes P, De Conca V et al. Combined laparoendoscopic approach for biliary lithiasis treatment. Hepatogastroenterology 2000; 47: 922-926 76. Tatulli F, Cuttitta A. Laparoendoscopic approach to treatment of common bile duct stones. J Laparoendosc Adv Surg Tech A 2000; 10: 315-317 77. Iodice G, Giardiello C, Francica G et al. Single-step treatment of gallbladder and bile duct stones: a combined endoscopic-laparoscopic technique. Gastrointest Endosc 2001; 53: 336-338 78. Tricarico A, Cione G, Sozio M et al. Endolaparoscopic rendezvous treatment: a satisfying therapeutic choice for cholecystocholedocolithiasis. Surg Endosc 2002; 16: 585-588 79. Enochsson L, Lindberg B, Swahn F et al. Intraoperative endoscopic retrograde cholangiopancreatography (ERCP) to remove common bile duct stones during routine laparoscopic cholecystectomy does not prolong hospitalization: a 2-year experience. Surg Endosc 2004; 18:367-371 80. Saccomani G, Durante V, Magnolia MR et al. Combined endoscopic treatment for cholelithiasis associated with choledocholithiasis. Surg Endosc 2005; 19: 910-914 81. Morino M. Baracchi F, Miglietta C et al. Preoperative endoscopic sphincterotomy versus laparoendoscopic rendezvous in patients with gallbladder and bile duct stones. Ann Surg 2006; 244: 889-893; discussion 893-886 82. Rabago LR, Vicente C, Soler F et al. Two-stage treatment with preoperative endoscopic retrograde cholangiopancreatography (ERCP) compared with single-stage treatment with intraoperative ERCP for patients with symptomatic cholelithiasis with possible choledocholithiasis. Endoscopy 2006; 38: 779-786 83. Leila F, Bagnolo F, Rebuffat C et al. Use of the laparoscopic-endoscopic approach, the so-called "rendezvous" technique, in cholecystocholedocholithiasis: a valid method in cases with patient-related risk factors for post-ERCP pancreatitis. Surg Endosc 2006; 20: 419-423 84. La Greca G, Barbagallo F, Di Blasi M et al. Rendezvous technique versus endoscopic retrograde cholangiopancreatography to treat bile duct stones reduces endoscopic time and pancreatic damage. J Laparoendosc Adv Surg Tech A 2007; 17: 167-171 85. Ghazal AH, Sorour MA, El-Riwini M et al. Single-step treatment of gall bladder and bile duct stones: a combined endoscopic- laparoscopic technique. Int J Surg 2009; 7: 338-346 86. Tzovaras G, Baloyiannis I, Kapsoritakis A et al. Laparoendoscopic rendezvous: an effective alternative to a failed preoperative ERCP in patients with cholecystocholedocholithiasis. Surg Endosc 2010; 24: 2603-2606 87. Borzellino G, Rodella L, Saladino E et al. Treatment for retained [corrected] common bile duct stones during laparoscopic cholecystectomy: the rendezvous technique. Arch Surg 2010; 145:1145-1149 88. Tzovaras G, Baloyiannis I, Zachari E et al. Laparoendoscopic rendezvous versus preoperative ERCP and laparoscopic cholecystectomy for the management of cholecysto-choledocholithiasis: interim analysis of a controlled randomized trial. Ann Surg 2012; 255: 435-439 89. Swahn F, Regner S, Enochsson L et al. Endoscopic retrograde cholangiopancreatography with rendezvous cannulation reduces pancreatic injury. World J Gastroenterol 2013; 19: 6026-6034 90. Tommasi C, Bencini L, Bernini M et al. Routine use of simultaneous laparoendoscopic approach in patients with confirmed gallbladder and bile duct stones: fit for laparoscopy fit for "rendezvous". World J Surg 2013; 37: 999-1005 91. Noel R, Enochsson L, Swahn F et al. A 10-year study of rendezvous intraoperative endoscopic retrograde cholangiography during cholecystectomy and the risk of post-ERCP pancreatitis. Surg Endosc 2013; 27: 2498-2503 92. Sahoo MR. Kumar AT, Patnaik A. Randomised study on single stage laparo-endoscopic rendezvous (intra-operative ERCP) procedure versus two stage approach (Pre-operative ERCP followed by laparoscopic cholecystectomy) for the management of cholelithiasis with choledocholithiasis. J Minim Access Surg 2014; 10:139-143 93. Di Mauro D, Faraci R, Mariani L et al. Rendezvous technique for cholecystocholedochal lithiasis in octogenarians: is it as effective as in younger patients, or should endoscopic sphincterotomy followed by laparoscopic cholecystectomy be preferred? J Laparoendosc Adv Surg Tech A 2014; 24:13-21 94. ElGeidie AA, ElEbidy GK, Naeem YM. Preoperative versus intraoperative endoscopic sphincterotomy for management of common bile duct stones. Surg Endosc 2011; 25:1230-1237 95. Karvellas CJ, Abraldes JG, Zepeda-Gomez S et al. The impact of delayed biliary decompression and anti-microbial therapy in 260 patients with cholangitis-associated septic shock. Aliment Pharmacol Ther 2016; 44: 755-766 96. Patel H, Gaduputi V, Chelimilla H et al. Acute cholangitis: does the timing of ERCP alter outcomes? JOP 2016; 17: 504-509 97. Schwed AC, Boggs MM, Pham XD et al. Association of admission laboratory values and the timing of endoscopic retrograde cholangiopancreatography with clinical outcomes in acute cholangitis. JAMA Surg 2016; 151: 1039-1045 98. Park CS, Jeong HS, Kim KB et al. Urgent ERCP for acute cholangitis reduces mortality and hospital stay in elderly and very elderly patients. Hepatobiliary Pancreat Dis Int 2016; 15: 619-625 99. Lee F, Ohanian E, Rheem J et al. Delayed endoscopic retrograde cholangiopancreatography is associated with persistent organ failure in hospitalised patients with acute cholangitis. Aliment Pharmacol Ther 2015; 42: 212-220 100. Navaneethan U, Njei B, Hasan MK et al. Timing of ERCP and outcomes of patients with acute cholangitis and choledocholithiasis: a nationwide population based study. Gastrointest Endosc 2015; 81 Suppl: AB354 101. Navaneethan U, Gutierrez NG, Jegadeesan R et al. Factors predicting adverse short-term outcomes in patients with acute cholangitis undergoing ERCP: A single center experience. World J Gastrointest Endosc 2014; 6: 74-81 102. Navaneethan U, Gutierrez NG, Jegadeesan R et al. Delay in performing ERCP and adverse events increase the 30-day readmission risk in patients with acute cholangitis. Gastrointest Endosc 2013; 78: 81-90 103. Jang SE, Park SW, Lee BS et al. Management for CBD stone-related mild to moderate acute cholangitis: urgent versus elective ERCP. Dig Dis Sci 2013; 58: 2082-2087 104. Khashab MA, Tariq A, Tariq U et al. Delayed and unsuccessful endoscopic retrograde cholangiopancreatography are associated with worse outcomes in patients with acute cholangitis. Clin Gastroenterol Hepatol 2012; 10:1157-1161 105. Mok SR, Mannino CL, Malin J et al. Does the urgency of endoscopic retrograde cholangiopancreatography (ERCP)Zpercutaneous biliary drainage (PBD) impact mortality and disease related complications in ascending cholangitis? (DEIM-I study). J Interv Gastroenterol 2012; 2:161-167 106. Chak A, Cooper GS, Lloyd LE et al. Effectiveness of ERCP in cholangitis: a community-based study. Gastrointest Endosc 2000; 52: 484-489
26.05.19 © Дмитриенко ..
Оцените материал: Рейтинг: 5

Комментарии

Написать

Материал опубликован при поддержке:

От редакции EndoExpert.ru

Материал требует адаптации




Синдром Бурхаве

Спонтанный разрыв пищевода - характеризуется спонтанным разрывом всех слоев стенки пищевода. Первое описание данного состояния дано голландским врачом Германом Бурхаве (Hermann Boerhaave) в 1724 г.

При эндоскопическом исследовании в случае бронхоэктазов в стадии ремиссии выявляется

частично диффузный бронхит I степени воспаления

Работаем и учимся при поддержке

Партнеры