单次内镜超声引导下经胃内镜逆行胰胆管造影术和同步内镜超声引导下经胆囊引流术治疗腹腔镜胆囊切除术失败后的胆总管结石和急性胆囊炎。

IF 0.6 Q4 GASTROENTEROLOGY & HEPATOLOGY ACG Case Reports Journal Pub Date : 2024-08-23 eCollection Date: 2024-08-01 DOI:10.14309/crj.0000000000001469

Azhar Hussain, Vishnu Charan Suresh Kumar, Hafiz Muzaffar Akbar Khan

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引用次数: 0

摘要

对于腹腔镜胆囊切除术的高风险患者，经皮胆囊引流术历来被认为是一线治疗方案。最近的证据表明，内镜胆囊引流术是一种安全可行的替代选择。我们描述了一例患有急性胆囊炎和胆总管结石的 Roux-en-Y 胃旁路手术患者，由于手术视野困难，腹腔镜胆囊切除术未获成功，在我院成功接受了单次内镜超声引导下经胃内镜逆行胰胆管造影术和内镜超声引导下经膜胆囊引流术。

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Single-Session Endoscopic Ultrasound-Directed Transgastric Endoscopic Retrograde Cholangiopancreatography and Simultaneous Endoscopic Ultrasound-Guided Transmural Gallbladder Drainage in Choledocholithiasis and Acute Cholecystitis After Unsuccessful Laparoscopic Cholecystectomy.

In patients considered high risk of laparoscopic cholecystectomy, percutaneous gallbladder drainage is traditionally considered first-line treatment option. Recent evidence supports endoscopic gallbladder drainage as a safe and feasible alternate option. We describe a case of Roux-en-Y gastric bypass surgery patient with acute cholecystitis and choledocholithiasis with unsuccessful laparoscopic cholecystectomy because of difficult operative field, underwent successful single-session endoscopic ultrasound-directed transgastric endoscopic retrograde cholangiopancreatography and endoscopic ultrasound-guided transmural gallbladder drainage at our institution.

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来源期刊

ACG Case Reports Journal GASTROENTEROLOGY & HEPATOLOGY-

自引率

14.30%

发文量

170

审稿时长

12 weeks

期刊介绍： ACG Case Reports Journal is a peer-reviewed, open-access publication that provides GI and hepatology fellows, private practice clinicians, and other healthcare providers an opportunity to share interesting case reports with their peers and with leaders in the field. ACG Case Reports Journal publishes case reports, images, videos and letters to the editor in all topics of gastroenterology and hepatology, including: Biliary Colon Endoscopy Esophagus Functional Bowel Disorders Inflammatory Bowel Disease Liver Nutrition and Obesity Pancreas Pathology Pediatric Small Bowel Stomach.