摘要

Anastomotic biliary strictures are the most common biliary complication of orthotopic liver transplantation They occur frequently, with a reported incidence of 5%-30% . Endoscopic therapy is accepted as first-line treatment with the classic approach being multiple plastic stent(MPS) placement, balloon dilation, or a combination of these two techniques.  


	  


	The role of single plastic stents is now obsolete, as shown by van Boeckel et al., who published an excellent and comprehensive review that showed the limitation of single plastic stents for benign biliary strictures (BBS). The durability of single plastic stents is poor, and the adverse events are unacceptably high. Hence, single plastic stent intervention should only be used as an initial approach in very selected cases prior to engaging definite strategies.

译文

吻合胆道狭窄是原位肝移植最常见的胆道并发症。它们经常发生,据报道发病率为5%-30%。 内窥镜治疗被认为是一线治疗,其经典方法是多个塑料支架(MPS)放置,球囊扩张或这两种技术的结合。

正如van Boeckel等人所展示的那样,单个塑料支架的作用现在已经过时了,他发表了一篇出色而全面的综述,其中显示了单个塑料支架对于良性胆道狭窄(BBS)的局限性。 单个塑料支架的耐久性差,并且不良事件高得令人无法接受。 因此,仅在确定的策略之前,仅在极少数情况下将单个塑料支架介入作为初始方法。

benign biliary stricture

消化 胆道梗阻 疾病
概述  :  

良性胆道狭窄(benign biliary stricture,BBS)的主要治疗目标是缓解胆道梗阻、保持长期胆管通畅及维护肝脏功能。内镜下治疗已成为大多数BBS的一线治疗方法,经内镜逆行胰胆管造影(ERCP)扩张胆管狭窄段并联合胆道支架置入治疗可起到较好的胆道引流效果。内镜下干预的有效性、治疗成功率及后果与BBS的特异病因、是否选用了恰当的内镜治疗技术、附件和支架有关;一些新技术也被开发出来以进一步提高内镜治疗的疗效。   病因

benign 英 /bɪˈnaɪn/  美 /bɪˈnaɪn/

释   义   adj. 良性的;和蔼的,亲切的;吉利的

例    句   These suggested that the ovarian tumour was benign, and that the mummy also had malaria and signs of inflammation in the lungs, which could have been caused by pneumonia or tuberculosis. 这些测试表明,她的卵巢肿瘤是良性的,但她患有疟疾,并在肺中发现了炎症的迹象,这些病症可能是由肺炎或肺结核引起的。

 

biliary 英 /ˈbɪliəri/  美 /ˈbɪlieri/

释   义   adj. 胆的;胆汁的;输送胆汁的

同根词(词根)   bile  adj. bilious 胆汁的;坏脾气的

n. bile 胆汁;愤怒

例    句   Surgical management of biliary fistulas is associated with high morbidity and mortality.  胆瘘的外科处理与高发病率和高死亡率相关。

 

stricture 英 /ˈstrɪktʃə(r)/  美 /ˈstrɪktʃər/

释   义   n. 狭窄;苛评;非难

例    句   Conclusion (1) MRCP is the best technique in the diagnosis of hepatolithiasis accompanied with bile stricture near porta hepatis.  结论(1)MRCP是肝胆管结石合并肝门部胆管狭窄术前定位诊断的最佳方法。

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