Study on the Effectiveness of Eyemax Insight Pancreaticobiliary Imaging System for Endoscopic Retrograde Cholangiopancreatography in the Treatment of Common Bile Duct Stones
LI Changzhou, HU Xue, GUO Tianyu, et al
The Central Hospital of Chengde, Hebei Chengde 067000, China
Abstract:Objective: To investigate the application effect of eyemax Insight pancreaticobiliary imaging system in endoscopic retrograde cholangiopancreatography (ERCP) in the treatment of common bile duct stones. Methods: A total of 80 patients who received common bile duct surgery in our hospital from January 2021 to August 2022 were recruited. After routine ERCP lithotomy, eyemax Insight pancreatic biliary imaging system was used to observe the residual stones of common bile duct under endoscopic retrograde cholangiopancreatography, and nasobiliary drainage tube was placed. The safety and efficacy of this treatment were analyzed. Results: In this study, 80 patients with common bile duct stones were successfully treated with endoscopic retrograde cholangiopancreatography by eyemax Insight pancreatic biliary imaging system. The average time of the insight pancreaticobiliary imaging was 23.0±3.2min, and the tatal operation time was 64.0±5.4min. Three days after operation, the nasobiliary duct was performed for choledochography, and there were no residual stones in the bile duct. Three days after operation, the biochemical indexes including Tbil, TBA, Dbil, and IBil among 80 patients were significantly improved compared to those before operation, and the statistical analysis showed statistical significance (P<0.05). All patients recovered successfully and were discharged from hospital. Conclusion: Eyemax Insight pancreatobiliary imaging system has high safety performance in endoscopic retrograde cholangiopancreatography for the treatment of common bile duct stones, which provides a favorable way for clinical treatment, and is worthy of promotion and application.
李常洲, 李千一, 胡雪, 郭天宇, 王爱民, 苏彬, 花海洋, 郑丽平, 李建辉. Eyemax洞察胰胆成像系统在内镜逆行胰胆管造影治疗胆总管结石的应用效果研究[J]. 河北医学, 2023, 29(4): 622-625.
LI Changzhou, HU Xue, GUO Tianyu, et al. Study on the Effectiveness of Eyemax Insight Pancreaticobiliary Imaging System for Endoscopic Retrograde Cholangiopancreatography in the Treatment of Common Bile Duct Stones. HeBei Med, 2023, 29(4): 622-625.
[1] 夏明星,吴军,叶馨,等.新型Spy Glass 经口胆道镜对性质不明胆管狭窄的诊断价值[J].中华消化内镜杂志,2020,37(10):722-726. [2] Bang JY,Navaneethan U,Hasan M,et al.Optimizing outcomes of single-operator cholangioscopy-guided biopsies based on a randomized trial[J].Clin Gastroenterol Hepatol,2020,18(2):441-448. [3] European Association for the Study of the Liver (EASL).EASL clinical practice guidelines on the prevention,diagnosis and treatment of gallstones[J].Hepatol,2016,65(1):146-181. [4] Lv F,Zhang S,Ji M,et al.Single-stage management with combined tri-endoscopic approach for concomitant cholecystolithiasis and choledocholithiasis[J].Surgical Endoscopy,2016,30(12):5615-5620. [5] 陈家先,宋春,段春宁,等.内镜下难治性胆总管结石行ERCP取石的安全性研究[J].中华普外科手术学杂志(电子版),2021,15(4):437-439. [6] 魏耕富,马智,权力,等.腹腔镜胆囊切除术、胆总管切开取石术联合胆总管一期缝合术治疗胆管结石的临床效果[J].临床误诊误治,2020,33(6):52-56. [7] IShida Y,Itoi T,Okabe Y.Types of peroral cholangioscopy:how to choose the most suitable type of cholangioscopy[J].Current Treatment Options in Gastroenterology,2016,14(2):210-219. [8] Gutierrez OIB,Bekkali NLH,Raijman I,et al.Efficacy and safety of digital single-operator cholangioscopy for difficult biliary stones[J].Clin Gastroenterol Hepatol,2018,16(6):918-926. [9] Maydeo AP,Rerknimitr R,LauJY,etal.Cholangioscopy-guided lithotripsy for difficult bile duct stone clearance in a single session of ERCP:results from a largemultinational registry demonstrate high success rates[J].Endoscopy,2019,51(10):922-929. [10] Hammerle CW, Harder S,Chung M, et al. Endoscopic retrograde cholangiopancreatography complications in the era of cholangioscopy:is there an increased risk[J].Dig Liver Dis,2012,44(9):754-758. [11] 王宏光,陶丽莹,郭庆梅,等.Spy Glass DS直视引导碎石术在胰管结石诊治中的疗效分析[J].中国普外基础与临床杂志,2022,29(2):157-161.