一条人迹罕至的路:内镜逆行胆管造影在长期贲门失弛缓症和乙状状食管患者中的应用。

Nadia O Trabelsi, Katherine Marchut, Sally Romina Urena Campos, Davide Maggio, George Rakovich
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引用次数: 0

摘要

贲门失弛缓症和乙状结肠食管患者的内镜逆行胰胆管造影是一项独特的技术挑战,因为必须安全地引导侧视十二指肠镜穿过严重扭曲的远端食管和不放松的下食管括约肌。对于这类患者,使用套管是一种简单的解决方案,可以安全地通过十二指肠镜并清除胆总管结石。
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A Road Less Traveled: Endoscopic Retrograde Cholangiopancreatography in a Patient with Long-standing Achalasia and Sigmoid Esophagus.

Endoscopic retrograde cholangiopancreatography in a patient with achalasia and sigmoid esophagus poses a unique technical challenge, as one must safely guide the side viewing duodenoscope across a severely distorted distal esophagus and non-relaxing lower esophageal sphincter. In such patients, the use of an overtube is a simple solution that allows the safe passage of a duodenoscope and the removal of common bile duct stones.

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