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Articolul urmator |
219 4 |
Ultima descărcare din IBN: 2023-12-07 10:59 |
Căutarea după subiecte similare conform CZU |
616.37-072:618.3 (1) |
Patologia sistemului digestiv. Tulburări ale tubului alimentar (1732) |
SM ISO690:2012 ŞCERBATIUC-CONDUR, Corina, SUMAN, Ala, MISHINA, Anna. Bilio-pancreatic transpapillary endoscopic interventions in pregnancy. In: Revista de Ştiinţe ale Sănătăţii din Moldova, 2022, nr. 3 An.1(29), p. 319. ISSN 2345-1467. |
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Revista de Ştiinţe ale Sănătăţii din Moldova | ||||||
Numărul 3 An.1(29) / 2022 / ISSN 2345-1467 | ||||||
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CZU: 616.37-072:618.3 | ||||||
Pag. 319-319 | ||||||
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Introduction. Retrograde biliary-pancreatic endoscopic interventions (RTE) are optimal methods for resolving choledocholithiasis and non-lithiasis biliary blockage applicable to pregnant patients. The information available in the literature is controversial regarding the long-term results, the influence on the pregnancy and the type of procedure chosen. Purpose. Evaluation of the applicability of the RTE in charge with highlighting the physiological and technical particularities. Materials and methods. The bibliographic sources from the MEDLINE and PubMed online databases were studied, according to the following keywords: „endoscopic transpapillary interventions”, „pregnancy”, „radiant”, „nonradiant”, the obtained data being analyzed, compared and synthesized. Results. Choledocholithiasis in pregnancy is estimated at 1 case in 1200 births. RTE are divided into radiant - with the use of radioscopy and non-radiant. Peculiarities in pregnant women: it is recommended to use the supine position; insistent recommendations for intubating pregnant patients; intraprocedural infusion therapy is not recommended. The use of non-radiant EIT is argued, but comparatively has limitations: difficult cannulation, difficulties in confirming access to the common bile duct, cystic duct cannulation, and omission of stones, omission of iatrogenic bile duct lesions, omission of strictures and delayed finding of bile duct perforation. The use of radioscopy and contrast agents poses an additional risk to the mother and fetus and will only be performed with therapeutic intent. Indications: choledocholithiasis, cholangitis, biliary pancreatitis, and other lesions with choledochal blockade and biliarypancreatic pathways. Conclusions. Regardless of the technique chosen, RTE are safe and effective methods for treating pregnant patients who require biliary and pancreatic decompression. There is no evidence of adverse effects on the radiation dose to which the fetus is exposed during the procedure. The long-term effect of radioscopy application remains under discussion. |
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Cuvinte-cheie pregnancy, radiant, nonradian, endoscopic transpapilary interventions, sarcina, radiant, non-radiant, intervenții transpapilare endoscopice |
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