自从1968年内镜下逆行胆胰管造影术(Endoscopic Retrograde Cholangiopancreato-graphy,ERCP)问世以来,尤其是1974年内镜下括约肌切开术(Endoscopic Sphincterotomy,EST)的临床应用,ERCP已成为临床诊断和治疗胆胰疾病的重要手段.我国ERCP技术起步于二十世纪七十年代,经过几代内镜工作者的不懈努力,目前已日益成熟和普及.为规范ERCP操作,促进我国...
门静脉高压症可以导致消化管道不同部位的静脉曲张,其中以食管胃静脉曲张最常见,食管胃静脉曲张出血也是危及患者生命的常见急症.消化道内镜不仅是诊断门静脉高压消化道静脉曲张及其出血的首选方法,而且是止血和预防再出血的主要方法.
近年来随着内镜技术的进步,内镜下黏膜切除术(Endoscopy Mucosal Resection,EMR)和内镜黏膜下层剥离术(Endoscopic Submucosal Dissection,ESD)逐渐成为一种切除消化道癌前病变与早癌的一种标准微创治疗手段,随着癌前病变与早癌检出率的升高,用于内镜下黏膜切除术与内镜黏膜下层剥离术的附件与技术也在不断的完善与提高.
以往小肠疾病的诊断不是很有效,例如推进式小肠镜、钡剂造影、同位素示踪、血管造影等,使大部分小肠疾病的病因不能明确.2000年后胶囊内镜和2001年双气囊小肠的应用使小肠镜病因的诊断有了明显的提高,对小肠疾病谱有了新的经验和认识.
胰胆管病在我国是常见病,如胆管癌、胆管结石、慢性胰腺炎等.该类疾病由于位置特殊,诊断一直比较困难.1968年经十二指肠内镜胰胆管逆行造影术(ERCP)的出现,使胰胆管疾病的影像学诊断取得了突破性进展,但ERCP操作技术难度大,限制其广泛推广与应用.近30年来,超声、CT、MRI等影像学技术使胰胆管病的诊断越来越容易和广泛,但这些影像学技术始终无法...
目的:建立可分析胆系不同位置胆漏发生机制的模拟胆汁分泌与排泄的物理模型,为进一步胆漏微创治疗提供理论依据.方法:通过自行设计体外模拟胆汁分泌与排泄物理模型,模拟胆汁分泌与排泄系统.通过此系统模型设计胆系不同部位胆漏模型:左(右)肝内胆管胆漏、肝外胆管胆漏、肝外胆管复杂胆漏.结果:5名护士分别操控自行设计体外模拟胆汁分泌与排泄物理...
1 内镜超声检查术(Endoscopic Uhrasonography,Eus)的适应证 1.1 EUS的诊断适应证 (1)消化道肿瘤的TNM分期;也就是说,所有确诊或疑似的消化道肿瘤都应行EUS. (2)消化道隆起性病灶的诊断. (3)肝门部胆管疾病:有研究表明,对于诊断不明的肝门部胆管疾病,超声内镜引导下细针穿刺活检术(EUS-FNA)可以改变20%此类患者的原治疗计划.
2003年我国老龄人口达1.3亿,约占人口总数的11%,预计2015年我国老年人将突破2亿,人口老龄化已成为我国必须面对的社会问题.随着人口老龄化的加快,消化内镜设备的更新和内镜诊疗技术的进步,老年患者接受消化内镜检查和治疗的机会也随之增加.同时,随着年龄的增长,衰老过程中不可避免所表现出来的机体生理功能的改变,基础疾病发病比例增高,也使得内...
美国消化内镜学会(ASGE)自1999年起,了一系列执业指南,发表于Gastrointestinal Endoscopy杂志,并在ASGE的网站上公布,迄今共发表了64篇(见表1).这些指南涉及消化内镜临床的多个方面,重视临床证据,归纳了专家的推荐意见,并不断进行更新,是消化内镜医师进行继续医学教育的重要资源,也可供我国的消化内镜学者在制订本国的消化内镜临床指南时借鉴.
This is one of a series of statements discussing the use of GI endoscopy in common clinical situations. The Standards of Practice Committee of the American Society for Gastrointestinal Endoscopy (ASGE) prepared this text.In preparing this guideline, we performed a search of the medical literature by using PubMed. Add...
This is one of a series of statements discussing the use of GI endoscopy in common clinical situations. The Standards of Practice Committee of the American Society for Gastrointestinal Endoscopy (ASGE) prepared this text. In preparing this guideline, a search of the medical literature was performed by using PubMed. A...
This is one of a series of statements discussing the use of gastrointestinal endoscopy in common clinical situations. The Standards of Practice Committee of the American Society for Gastrointestinal Endoscopy (ASGE) prepared this text. In preparing this guideline, a search of the medical literature was performed by u...
This is one of a series of statements discussing the use of GI endoscopy in common clinical situations.The Standards of Practice Committee of the American Society for Gastrointestinal Endoscopy prepared this text. In preparing this guideline, a search of the medical literature was performed by using PubMed. Additiona...
This is one of a series of statements discussing the use of GI endoscopy in common clinical situations. The Standards of Practice Committee of the American Society for Gastrointestinal Endoscopy (ASGE) prepared this text. In preparing this guideline, a search of the medical literature was performed by using PubMed. A...
This is one of a series of statements discussing the use of GI endoscopy in common clinical situations. The Standards of Practice Committee of the American Society for Gastrointestinal Endoscopy (ASGE) prepared this text. In preparing this guideline, a search of the medical literature was performed by using PubMed. A...