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中华胃肠内镜电子杂志 ›› 2018, Vol. 05 ›› Issue (02) : 69 -73. doi: 10.3877/cma.j.issn.2095-7157.2018.02.005

所属专题: 文献

论著

防止术后出血的新式内镜下十二指肠乳头切除术的前瞻性可行性研究
令狐恩强1,()   
  1. 1. 100853 北京,解放军总医院消化科
  • 收稿日期:2018-05-05 出版日期:2018-05-15
  • 通信作者: 令狐恩强
  • 基金资助:
    国家重点研发计划(2016YFC1303601)

A prospective study on the feasibility of a novel endoscopic papillectomy to prevent postoperative bleeding

Enqiang Linghu1,()   

  1. 1. Department of Gastroenterology, Chinese PLA General Hospital, Beijing 100853, China
  • Received:2018-05-05 Published:2018-05-15
  • Corresponding author: Enqiang Linghu
  • About author:
    Corresponding author: Linghu Enqiang, Email:
引用本文:

令狐恩强. 防止术后出血的新式内镜下十二指肠乳头切除术的前瞻性可行性研究[J]. 中华胃肠内镜电子杂志, 2018, 05(02): 69-73.

Enqiang Linghu. A prospective study on the feasibility of a novel endoscopic papillectomy to prevent postoperative bleeding[J]. Chinese Journal of Gastrointestinal Endoscopy(Electronic Edition), 2018, 05(02): 69-73.

目的

内镜下乳头切除术是目前治疗十二指肠乳头部肿瘤性病变的重要手段,而术后出血是其最常见及最危急的并发症。为此,本研究设计了一种新的术式与程序,旨在降低乳头切除术后出血的发生率。

方法

前瞻性将解放军总医院消化科2016年12月至2018年4月行新式内镜下十二指肠乳头切除的13例患者纳入研究。新术式对传统十二指肠乳头切除术进行改良优化,主要包括:隔离胆汁和胰液的接触及封闭创面两个方面。本研究对其可行性进行了前瞻性、单中心的研究。

结果

13例采用新术式与程序进行十二指肠乳头切除治疗的患者,术后出血发生率为0,明显低于传统术式(4.5%~45%)。

结论

新式内镜下十二指肠乳头切除术可降低术后出血发生率。

Objective

Endoscopic papillectomy (EP) is the main therapy to papillary tumorous lesions while bleeding is the most common and critical postoperative complication. In order to reduce postoperative bleeding rate, we initially created a novel therapy and procedure of endoscopic papillectomy.

Methods

The novel procedure has two main modified aspects compared with traditional EP, including isolating bile from pancreatic fluid and closing the wound. We did a single-center prospective study to examine its feasibility.

Results

We prospectively studied on 13 patients with novel therapy and procedure, and the postoperative bleeding rate of the new therapy was 0, which was obviously lower than that of traditional therapy(4.5%-45%).

Conclusion

The novel endoscopic papillectomy is an effective therapy to reduce postoperative bleeding.

图1 新式内镜下十二指肠乳头切除术示意图
表1 入组病例基本资料及并发症情况
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