Kết quả trung hạn kỹ thuật đặt stent dẫn lưu nang giả tụy - dạ dày qua nội soi dạ dày tá tràng=Medium-term results of stent placement technique to drain pancreatic pseudocyst

Kết quả trung hạn kỹ thuật đặt stent dẫn lưu nang giả tụy - dạ dày qua nội soi dạ dày tá tràng=Medium-term results of stent placement technique to drain pancreatic pseudocyst - gastric through gastroduodenoscopy

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Tác giả: Đình Công Đỗ, Tuấn Vũ Hoàng, Minh Trí Phan, Hạnh Phúc Sơn, Tấn Lực Võ

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Y dược học Cần Thơ, 2024

Mô tả vật lý: tr.42-47

Bộ sưu tập: Báo, Tạp chí

ID: 244844

Thêm vào giỏ

Phương pháp dẫn lưu nang giả tụy qua nội soi dạ dày tá tràng được xem là phương pháp hiệu quả và tránh được những biến chứng. Mục tiêu nghiên cứu: Xác định tỉ lệ thành công, thất bại và biến chứng sớm của kỹ thuật đặt stent dẫn lưu nang giả tụy - dạ dày qua nội soi dạ dày tá tràng
xác định thời điểm rút stent, tỉ lệ biến chứng và tử vong trong vòng 6 tháng sau đặt stent dẫn lưu nang giả tụy - dạ dày. Đối tượng và phương pháp nghiên cứu: Tất cả các bệnh nhân được chẩn đoán nang giả tụy và được điều trị bằng phương pháp dẫn lưu qua nội soi dạ dày tá - tràng tại Bệnh viện Chợ Rẫy từ 01/01/2018 đến 01/01/2021 (3 năm). Kết quả: Trong thời gian 3 năm chúng tôi can thiệp cho 55 bệnh nhân nang giả tụy bằng phương pháp can thiệp dẫn lưu qua nội soi dạ dày tá tràng. Tỉ lệ nam/nữ 5,11/1
tuổi trung bình là 41 ± 15,4 tuổi. Tỉ lệ thành công của kỹ thuật là 96,4%, tỉ lệ đặt stent thất bại là 3,6% (2 bệnh nhân không đặt được stent)
thời gian rút stent trung bình là 4,96 ± 4,01 tháng
tỉ lệ biến chứng sớm sau đặt stent là 5,7% (3/53 bệnh nhân), trong đó có 1 trường hợp xuất huyết tiêu hoá (1,9%) và 2 trường hợp (3,8%) biến chứng nhiễm trùng. Theo dõi trong thời gian 6 tháng, chúng tôi ghi nhận: tỉ lệ nang giả tụy thoái lui hoàn toàn là 94,3%
tỉ lệ biến chứng là 5,7%, trong đó có 1 trường hợp áp-xe tụy và 2 trường hợp (3,9%) tái phát sau 3 tháng rút stent
tỉ lệ tử vong trong vòng 6 tháng là 0%. Kết luận: Kỹ thuật dẫn lưu nang giả tụy qua nội soi dạ dày - tá tràng có tỉ lệ thành công cao và tỉ lệ tai biến thấp. Đây là một phương pháp khả thi và hiệu quả.The method of draining the pancreatic pseudocyst through gastroduodenal endoscopy was considered an effective method and avoiding complications. Objectives: To determine the success rate, failure, and early complications of the stenting technique to drain the pancreatic pseudocyst through gastroduodenal endoscopy
determine the time of stent removal, the rate of complications, and death within 6 months after stent placement to drain the pancreatic pseudocyst. Materials and methods: All patients were diagnosed with pancreatic pseudocyst and treated by endoscopic gastroduodenal drainage at Cho Ray Hospital from 01/01/2018 to 1/1/ 2021 (3 years). Results: During 3 years, we intervened for 55 patients with pancreatic pseudocyst by endoscopic drainage. The male/Female ratio was 5.11/1
the mean age was 41 ± 15.4 years old. The success rate of the technique was 96.4%, the failure rate of the stent was 3.6% (2 patients could not have stents)
The rate of early complications after stenting was 5.7% (3/53 patients), including 1 case of gastrointestinal bleeding (1.9%) and 2 cases (3.8%) of infectious complications. The mean time of stent removal was 4.96 ± 4.01 months. Following up for 6 months, we recorded: the rate of pancreatic pseudocyst completely regressed at 94.3%
the complication rate was 5.7%, including 1 case of pancreatic abscess and 2 cases (3.9%) recurred after 3 months of stent removal, the 6-month mortality rate was 0%. Conclusion: Endoscopic gastroduodenal pseudocyst drainage technique had high success rate and low complication rate. This was a viable and effective method.

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