Đánh giá kết quả điều trị viêm đường mật cấp do sỏi ống mật chủ ở bệnh nhân cắt dạ dày theo billroth ii bằng nội soi mật tụy ngược dòng

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Tác giả: Cảnh Bình Nguyễn, Lâm Tùng Nguyễn, Ngọc Minh Quang Nguyễn, Tiến Thịnh Nguyễn, Doãn Kỳ Thái, Thị Ánh Tuyết Trần

Ngôn ngữ: vie

Ký hiệu phân loại: 572 Biochemistry

Thông tin xuất bản: Y dược lâm sàng 108, 2022

Mô tả vật lý: 25-30

Bộ sưu tập: Metadata

ID: 489533

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Đánh giá kết quả và an toàn của nội soi mật tụy ngược dòng điều trị viêm đường mật cấp do sỏi ống mật chủ ở bệnh nhân cắt đoạn dạ dày theo Billroth II. Đối tượng và phương pháp(:) Nghiên cứu 42 bệnh nhân được chẩn đoán viêm đường mật cấp do sỏi ống mật chủ có tiền sử cắt dạ dày theo Billroth II, được điều trị nội soi mật tụy ngược dòng tại Bệnh viện Trung ương Quân đội 108 từ tháng 6/2018 - 07/2022. Kết quả(:) Có 42 bệnh nhân với tuổi trung bình là 75,3 ± 11,6 (nhỏ nhất(:) 44, lớn nhất(:) 99)
tỷ lệ nam/nữ là 2,5/ 1
85,7% bệnh nhân cắt dạ dày theo Billroth II trên 5 năm
88,1% bệnh nhân được can thiệp thông nhú thành công
trong đó, 73% lấy hết sỏi trong lần can thiệp đầu. Tỷ lệ dùng ống nội soi dạ dày và nhìn bên lần lượt là 67,6% và 32,4%. Can thiệp cơ Oddi bằng nong bóng nhú là 89,2% bệnh nhân.( )Tỷ lệ tai biến, biến chứng sau can thiệp lần lượt gặp viêm tụy cấp (9,4%)
chảy máu tiêu hoá (4,8%)
thủng ruột non (2,4%)
nhiễm khuẩn huyết (4,8%). Không có tai biến vô cảm và không có trường hợp nào tử vong. Kết luận(:) Nội soi mật tụy ngược dòng điều trị viêm đường mật cấp do sỏi ống mật chủ ở bệnh nhân đã cắt dạ dày theo Billroth II là khả thi và an toàn.To evaluate of the results and safety of Endoscopic Retrograde Cholangio pancreatography for the treatment of acute cholangitis caused by common bile duct stones in patients with previous Billroth II gastrectomy. Subject and method(:) The study was performed on 42 patients with acute cholangitis due to common bile duct stones with previous Billroth II gastrectomy, treated by Endoscopic Retrograde Cholangiopancreatography at 108 Military Central Hospital over the period of June 2018 to July 2022. Result(:) There were 42 patients in the study with a mean age of 75.3 ± 11.6 years
The male/female ratio was 2.5/1. There were 90.5% patients with a history of Billroth II gastrectomy due to previous benign diseases. 85.7% of Billroth II gastrectomy patients were over 5 years. The successful intubation rates were 88.1%, of which 73% were cases of stone removal in the first intervention. The rate of performed gastric endoscopes and lateral view endoscopes were 67.6% and 32.4%, respectively. The( )proportion of endoscopic papillary large balloon dilatation was 89.2%. The rate of complications after intervention were(:) Acute pancreatitis (9.4%)
gastrointestinal bleeding (4.8%), small bowel perforation (2.4%). There was no case of death. Conclusion(:) Endoscopic Retrograde Cholangiopancreatography for common bile duct stones ( )in patients with Billroth II gastectomy is feasible and safe.( )

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