How to make better use of gastrointestinal endoscopy in diagnosis and treatment of biliary and pancreatic diseases
-
摘要: 胆胰疾病的内镜诊治技术主要包括经内镜逆行胰胆管造影和超声内镜,近年来新的技术方法如内镜腹腔镜联合治疗、经自然孔道内镜手术等逐渐应用于临床,应继续推进胆胰内镜的应用普及和规范化工作,培养掌握各种内镜技术的复合型内镜专家以及同时具备腔内操作经验和消化道腔外手术基础的融合型人才,注意经验的积累和器械的改进,开展临床研究进行评价,促进新技术的临床转化,以进一步提高胆胰疾病的诊治水平。Abstract: The techniques for endoscopic diagnosis and treatment of biliary and pancreatic diseases mainly include endoscopic retrograde cholangiopancreatography and endoscopic ultrasonography, which have achieved great progress in recent years. Meanwhile, new techniques including combined therapy with endoscopy and laparoscopy and natural orifice transluminal endoscopic surgery have gradually been applied in clinical practice. In the future, it is necessary to cultivate interdisciplinary experts in the field of endoscopy who master various endoscopic techniques and integrated talents with experience in both transluminal operation and gastrointestinal surgery outside lumens. At present, there are still controversies over the application of new techniques in the treatment of biliary and pancreatic diseases. The diagnosis and treatment of biliary and pancreatic diseases can be further improved by promoting the application of biliary and pancreatic endoscopy and standardization, accumulating experience and improving devices, evaluating clinical research, and promoting the bench-to-bedside translation of new techniques.
-
Key words:
- endoscopy /
- biliary tract diseases /
- pancreatic diseases
-
[1]GIOVANNINI M, HOOKEY LC, BORIES E, et al.Endoscopic ultrasound elastography:the first step towards virtual biopsy?Preliminary results in 49 patients[J].Endosopy, 2006, 38 (4) :344-348. [2]GIOVANNINI M, THOMAS B, ERWAN B, et al.Endoscopic ultrasound elastography for evaluation of lymph nodes and pancreatic masses:a multicenter study[J].World J Gastroenterol, 2009, 15 (13) :1587-1593. [3]HU DM, GONG TT, ZHU Q.Contrast-enhanced EUS in differential diagnosis of benign and malignant pancreatic masses:a metaanalysis[J].Chin J Dig Endosc, 2012, 29 (7) :374-379. (in Chinese) 胡端敏, 龚婷婷, 诸琦.造影增强超声内镜对胰腺肿块良恶性鉴别的Meta分析[J].中华消化内镜杂志, 2012, 29 (7) :374-379. [4]JIANG L, LINGHU EQ, LI HK, et al.Role of Spy Glass in the diagnosis of pancreatic cystic tumors[J/CD].Chin J Gastrointest Endosc, 2016, 3 (1) :33-36. (in Chinese) 姜蕾, 令狐恩强, 李惠凯, 等.Spy Glass系统在胰腺囊性肿瘤诊断中的应用[J/CD].中华胃肠内镜电子杂志, 2016, 3 (1) :33-36. [5]GRIMM H, BINMOELLER KF, SOEHENDRA N.Endosonography-guided drainage of a pancreatic pseudocyst[J].Gastrointestinal Endoscopy, 1992, 38 (2) :170-171. [6]BELLE S, COLLET P, POST S, et al.Temporary cystogastrostomy with self expanding metallic stents for pancreatic necrosis[J].Endoscopy, 2010, 42 (6) :493-495. [7]WIERSEMA MJ, SANDUSKY D, CARR R, et al.Endosonography guided cholangiopancreatography[J].Gastrointest Endosc, 1996, 43 (2) :102-106. [8] ZHU HM, GUO SQ, LIAO XM, et al.Natural orifice transluminal endoscopic surgery in the treatment of severe acute pancreatitis complicated with multiple organ dysfunction[J].Chin Clin Pract Med, 2014, 5 (6) :9-12. (in Chinese) 朱惠明, 郭少卿, 廖秀敏, 等.经自然腔道内镜手术治疗重症急性胰腺炎合并多器官功能障碍[J].中国临床实用医学, 2014, 5 (6) :9-12. [9] GE N.The research of anastomosis between digestive tract and gallbladder through temporary stent placement guided by endoscopic ultrasound[D].Shenyang:China Med Univ, 2015. (in Chinese) 葛楠.内镜超声辅助下新式可回收全覆膜金属支架在空腔脏器之间吻合作用的动物实验及临床研究[D].沈阳:中国医科大学, 2015.
本文二维码
计量
- 文章访问数: 1654
- HTML全文浏览量: 10
- PDF下载量: 438
- 被引次数: 0