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[PMID]:29241850
[Au] Autor:Adler DG
[Ad] Endereço:Department of Gastroenterology and Hepatology, University of Utah School of Medicine, Salt Lake City, Utah, USA.
[Ti] Título:Guidewire cannulation in ERCP: from zero to hero!
[So] Source:Gastrointest Endosc;87(1):202-204, 2018 01.
[Is] ISSN:1097-6779
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Cateterismo
Colangiopancreatografia Retrógrada Endoscópica
[Mh] Termos MeSH secundário: Seres Humanos
Pancreatite
Esfinterotomia Endoscópica
[Pt] Tipo de publicação:EDITORIAL; COMMENT
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180212
[Lr] Data última revisão:
180212
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171216
[St] Status:MEDLINE


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[PMID]:29183529
[Au] Autor:Liu Z; Zhang L; Liu Y; Gu Y; Sun T
[Ti] Título:Efficiency and Safety of One-Step Procedure Combined Laparoscopic Cholecystectomy and Eretrograde Cholangiopancreatography for Treatment of Cholecysto-Choledocholithiasis: A Randomized Controlled Trial.
[So] Source:Am Surg;83(11):1263-1267, 2017 Nov 01.
[Is] ISSN:1555-9823
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:We aimed to evaluate the efficiency and safety of one-step procedure combined endoscopic retrograde cholangiopancreatography (ERCP) and laparoscopic cholecystectomy (LC) for treatment of patients with cholecysto-choledocholithiasis. A prospective randomized study was performed on 63 consecutive cholecysto-choledocholithiasis patients during 2008 and 2011. The efficiency and safety of one-step procedure was assessed by comparing the two-step LC with ERCP + endoscopic sphincterotomy (EST). Outcomes including intraoperative features, postoperative features (length of stay and postoperative complications) were evaluated. One- or two-step procedure of LC with ERCP + EST was successfully performed in all patients, and common bile duct stones were completely removed. Statistical analyses showed that length of stay and pulmonary infection rate were significantly lower in the test group compared with that in the control group (P < 0.05), whereas no statistical difference in other outcomes was found between the two groups (all P > 0.05). The one-step procedure of LC with ERCP + EST is superior to the two-step procedure for treatment of patients with cholecysto-choledocholithiasis regarding to the reduced hospital stay and inhibited occurrence of pulmonary infections. Compared with two-step procedure, one-step procedure of LC with ERCP + EST may be a superior option for cholecysto-choledocholithiasis patients treatment regarding to hospital stay and pulmonary infections.
[Mh] Termos MeSH primário: Colangiopancreatografia Retrógrada Endoscópica/métodos
Colecistectomia Laparoscópica/métodos
Coledocolitíase/cirurgia
[Mh] Termos MeSH secundário: Adulto
Idoso
Perda Sanguínea Cirúrgica
Colangiopancreatografia Retrógrada Endoscópica/efeitos adversos
Colecistectomia Laparoscópica/efeitos adversos
Feminino
Cálculos Biliares/cirurgia
Seres Humanos
Tempo de Internação/estatística & dados numéricos
Masculino
Meia-Idade
Duração da Cirurgia
Complicações Pós-Operatórias/etiologia
Estudos Prospectivos
Esfinterotomia Endoscópica/métodos
Resultado do Tratamento
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171204
[Lr] Data última revisão:
171204
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171130
[St] Status:MEDLINE


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[PMID]:28906372
[Au] Autor:Gao YC; Chen J; Qin Q; Chen H; Wang W; Zhao J; Miao F; Shi X
[Ad] Endereço:aDepartment of General Surgery bDepartment of Hepatobiliary Surgery, the First Affiliated Hospital of Hebei Medical University, Shijiazhuang, China.
[Ti] Título:Efficacy and safety of laparoscopic bile duct exploration versus endoscopic sphincterotomy for concomitant gallstones and common bile duct stones: A meta-analysis of randomized controlled trials.
[So] Source:Medicine (Baltimore);96(37):e7925, 2017 Sep.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The purpose of this study was to compare the efficacy and safety of laparoscopic cholecystectomy (LC) plus laparoscopic common bile duct (CBD) stones exploration (LCBDE) with LC plus endoscopic sphincterotomy (EST) in the treatment of patients with gallstones and CBD stones. METHODS: The authors searched PubMed, Web of Science, and Embase to identify relevant studies. Risk ratios (RRs) were pooled to compare stone clear, retained stone, conversion to other procedures, and complications. Weighted mean differences (WMDs) were pooled to compare operative time, and length of hospital stay. A fixed-effects model or random-effects model was used to pool the estimates, according to the heterogeneity among the included studies. RESULTS: A total of 11 randomized controlled trials (RCTs) involving 1663 patients were included in this meta-analysis. The pooled estimate suggested that LC-LCBDE had comparable effects with LC-EST in terms of CBD stone clear rate (RR = 1.02, 95% CI: 0.95, 1.09; P = .583), retained stones rate (RR = 1.27, 95% CI: 0.51, 3.19; P = .607), and length of hospital stay (WMD = -0.96 days, 95% CI: -2.20, 0.28). In addition, LC-LCBDE was associated with significantly higher conversion rate (RR = 1.59, 95% CI: 1.08, 2.35; P = .019) and less operative time (WMD = -11.55 minutes, 95% CI: -16.68, -6.42; P < .001) than LC-EST. The incidence of complications was not significant difference between the 2 surgical approaches (RR = 1.07, 95% CI: 0.86, 1.34; P = .550). CONCLUSION: Based on the current evidence, both LC-LCBDE and LC-EST were highly effective in detecting and removing CBD stones and were equivalent in complications. However, our results might be biased by the limitations. Large-scale well-designed RCTs are needed to confirm our findings.
[Mh] Termos MeSH primário: Colecistectomia Laparoscópica
Colecistolitíase/cirurgia
Cálculos Biliares/cirurgia
Esfinterotomia Endoscópica
[Mh] Termos MeSH secundário: Colecistectomia Laparoscópica/efeitos adversos
Colecistolitíase/complicações
Cálculos Biliares/complicações
Seres Humanos
Ensaios Clínicos Controlados Aleatórios como Assunto
Esfinterotomia Endoscópica/efeitos adversos
Resultado do Tratamento
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE; META-ANALYSIS
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171004
[Lr] Data última revisão:
171004
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170915
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000007925


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[PMID]:28809384
[Au] Autor:Elmunzer BJ; Noureldin M; Morgan KA; Adams DB; Coté GA; Waljee AK
[Ad] Endereço:Division of Gastroenterology and Hepatology, Department of Internal Medicine, Medical University of South Carolina, Charleston, South Carolina, USA.
[Ti] Título:The Impact of Cholecystectomy After Endoscopic Sphincterotomy for Complicated Gallstone Disease.
[So] Source:Am J Gastroenterol;112(10):1596-1602, 2017 Oct.
[Is] ISSN:1572-0241
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: Cholecystectomy after endoscopic sphincterotomy (ES) is associated with improved outcomes compared to ES alone, however randomized trials have included mainly fit surgical candidates. Our objective was to assess the impact of cholecystectomy after ES among elderly patients, in whom the perceived risks of surgery may be increased and the prevailing bias may be to defer cholecystectomy. METHODS: We performed adjusted analyses comparing clinical outcomes in patients ≥65 years of age who did and did not undergo follow-up cholecystectomy after endoscopic sphincterotomy for choledocholithiasis, ascending cholangitis, or gallstone pancreatitis. We also compared adverse events between the two groups. RESULTS: In the ES alone group, 39.3% of patients experienced a recurrent complication compared with 18.0% in the ES and cholecystectomy group. After adjusting for comorbidities using multivariable regression, cholecystectomy in addition to ES was associated with a reduced risk of recurrent choledocholithiasis (OR 0.38, 95%CI 0.34-0.42, P<0.001), ascending cholangitis (OR 0.28, 95%CI 0.23-0.34, P<0.001), and gallstone pancreatitis (OR 0.35, 95%CI 0.24-0.49, P<0.001) compared to ES alone. This benefit was preserved after propensity score adjustment, in patients ≥75 years of age, and in those with major comorbidities including cancer, heart failure, and liver disease. Serious post-operative complications such as myocardial infarction, pulmonary embolism, and pneumonia were not more common in the cholecystectomy group. CONCLUSIONS: Among older patients, including those with serious comorbidities, cholecystectomy after endoscopic sphincterotomy was associated with a significant and clinically important reduction in recurrent complications compared to sphincterotomy alone. This benefit did not appear to be outweighed by surgical complications, highlighting the importance of cholecystectomy, even in elderly patients whose lifespans may be limited by unrelated conditions.
[Mh] Termos MeSH primário: Colangite
Colecistectomia
Pancreatite
Complicações Pós-Operatórias
Esfinterotomia Endoscópica
[Mh] Termos MeSH secundário: Idoso
Colangite/etiologia
Colangite/prevenção & controle
Colecistectomia/efeitos adversos
Colecistectomia/métodos
Coledocolitíase/diagnóstico
Coledocolitíase/epidemiologia
Coledocolitíase/cirurgia
Estudos de Coortes
Feminino
Seres Humanos
Masculino
Múltiplas Afecções Crônicas/epidemiologia
Pancreatite/etiologia
Pancreatite/prevenção & controle
Avaliação de Resultados da Assistência ao Paciente
Complicações Pós-Operatórias/epidemiologia
Complicações Pós-Operatórias/prevenção & controle
Pontuação de Propensão
Recidiva
Estudos Retrospectivos
Risco Ajustado/métodos
Fatores de Risco
Esfinterotomia Endoscópica/efeitos adversos
Esfinterotomia Endoscópica/métodos
Estados Unidos/epidemiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171019
[Lr] Data última revisão:
171019
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170816
[St] Status:MEDLINE
[do] DOI:10.1038/ajg.2017.247


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[PMID]:28792589
[Au] Autor:Green R; Charman SC; Palser T
[Ad] Endereço:Anaesthetics Department, Royal Sussex County Hospital, Brighton and Sussex University Hospitals NHS Trust, Brighton, UK.
[Ti] Título:Early definitive treatment rate as a quality indicator of care in acute gallstone pancreatitis.
[So] Source:Br J Surg;104(12):1686-1694, 2017 Nov.
[Is] ISSN:1365-2168
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Early definitive treatment (cholecystectomy or endoscopic sphincterotomy in the same admission or within 2 weeks after discharge) of gallstone disease after a biliary attack of acute pancreatitis is standard of care. This study investigated whether compliance with early definitive treatment for acute gallstone pancreatitis can be used as a care quality indicator for the condition. METHODS: A retrospective cohort study was conducted using the Hospital Episode Statistics database. All emergency admissions to National Health Service hospitals in England with a first time diagnosis of acute gallstone pancreatitis in the financial years 2008, 2009 and 2010 were examined. Trends in early definitive treatment between hospital trusts were examined and patient morbidity outcomes were determined. RESULTS: During the study interval there were 19 510 patients with an overall rate of early definitive treatment at 34·7 (range 9·4-84·7) per cent. In the 1-year follow-up period, 4661 patients (23·9 per cent) had one or more emergency readmissions for complications related to gallstone pancreatitis. Of these, 2692 (57·8 per cent) were readmissions for acute pancreatitis; 911 (33·8 per cent) were within the first 2 weeks of discharge, with the remaining 1781 (66·2 per cent) occurring after the point at which definitive treatment should have been received. Early definitive treatment resulted in a 39 per cent reduction in readmission risk (adjusted risk ratio (RR) 0·61, 95 per cent c.i. 0·58 to 0·65). The risk was further reduced for acute pancreatitis readmissions to 54 per cent in the early definitive treatment group (adjusted RR 0·46, 0·42 to 0·51). CONCLUSION: In acute gallstone pancreatitis, compliance with recommended early definitive treatment varied considerably, with associated variation in outcomes. Compliance should be used as a quality indicator to improve care.
[Mh] Termos MeSH primário: Cálculos Biliares/complicações
Fidelidade a Diretrizes
Pancreatite/cirurgia
Indicadores de Qualidade em Assistência à Saúde
[Mh] Termos MeSH secundário: Doença Aguda
Adulto
Idoso
Colecistectomia
Emergências
Feminino
Seres Humanos
Masculino
Meia-Idade
Pancreatite/etiologia
Readmissão do Paciente
Guias de Prática Clínica como Assunto
Estudos Retrospectivos
Esfinterotomia Endoscópica
Fatores de Tempo
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171025
[Lr] Data última revisão:
171025
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170810
[St] Status:MEDLINE
[do] DOI:10.1002/bjs.10578


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[PMID]:28780610
[Au] Autor:Mutignani M; Dokas S; Tringali A; Forti E; Pugliese F; Cintolo M; Manta R; Dioscoridi L
[Ad] Endereço:Digestive and Interventional Endoscopy Unit, Ospedale Ca'Granda Niguarda, Piazza dell'Ospedale Maggiore, 3, 20162, Milan, Italy.
[Ti] Título:Pancreatic Leaks and Fistulae: An Endoscopy-Oriented Classification.
[So] Source:Dig Dis Sci;62(10):2648-2657, 2017 Oct.
[Is] ISSN:1573-2568
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Pancreatic leaks occur as a complication of upper gastrointestinal surgery, acute pancreatitis, or abdominal trauma. Pancreatic fistulas and leaks are primarily managed conservatively. Overall, conservative measures are successful in more than half of cases. Whenever conservative treatment is not efficient, surgery is usually considered the treatment of choice. Nowadays however, endoscopic treatment is being increasingly considered and employed in many cases, as a surgery sparing intervention. AIM: To introduce a classification of pancreatic fistulas according to the location of the leak and ductal anatomy and finally propose the best suited endoscopic method to treat the leak according to current literature. METHODS: We performed an extensive review of the literature on pancreatic fistulae and leaks. RESULTS: In this paper, we review the various types of leaks and propose a novel endoscopic classification of pancreatic fistulas in order to standardize and improve endoscopic treatment. CONCLUSIONS: A proper and precise diagnosis should be made before embarking on endoscopic treatment for pancreatic leaks in order to obtain prime therapeutic results. A multidisciplinary team of interventional endoscopists, pancreatic surgeons, and interventional radiologists is best suited to care for these patients.
[Mh] Termos MeSH primário: Traumatismos Abdominais/complicações
Fístula Anastomótica/terapia
Colangiopancreatografia Retrógrada Endoscópica
Procedimentos Cirúrgicos do Sistema Digestório/efeitos adversos
Drenagem/métodos
Fístula Pancreática/terapia
Pancreatite/complicações
Esfinterotomia Endoscópica
[Mh] Termos MeSH secundário: Doença Aguda
Fístula Anastomótica/classificação
Fístula Anastomótica/diagnóstico
Fístula Anastomótica/etiologia
Colangiopancreatografia Retrógrada Endoscópica/efeitos adversos
Colangiopancreatografia Retrógrada Endoscópica/instrumentação
Drenagem/efeitos adversos
Drenagem/instrumentação
Seres Humanos
Fístula Pancreática/classificação
Fístula Pancreática/diagnóstico
Fístula Pancreática/etiologia
Valor Preditivo dos Testes
Esfinterotomia Endoscópica/efeitos adversos
Stents
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171024
[Lr] Data última revisão:
171024
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170807
[St] Status:MEDLINE
[do] DOI:10.1007/s10620-017-4697-5


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[PMID]:28728670
[Au] Autor:Baillie J
[Ad] Endereço:Gastroenterology, Virginia Commonwealth University Health System, Richmond, Virginia, USA.
[Ti] Título:Fifteen years of ERCP.
[So] Source:Gastrointest Endosc;86(2):327-328, 2017 08.
[Is] ISSN:1097-6779
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Colangiopancreatografia Retrógrada Endoscópica
Esfinterotomia Endoscópica
[Mh] Termos MeSH secundário: Seres Humanos
Pancreatite
Estudos Retrospectivos
[Pt] Tipo de publicação:EDITORIAL; COMMENT
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171031
[Lr] Data última revisão:
171031
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170722
[St] Status:MEDLINE


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[PMID]:28610860
[Au] Autor:Zagalsky D; Lasa J
[Ad] Endereço:Gastroenterology Department, Hospital "Alejandro Posadas", Buenos Aires, Argentina.
[Ti] Título:Needle-knife fistulotomy and risk of post-ERCP pancreatitis.
[So] Source:Gastrointest Endosc;86(1):247-248, 2017 07.
[Is] ISSN:1097-6779
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Colangiopancreatografia Retrógrada Endoscópica
Pancreatite
[Mh] Termos MeSH secundário: Cateterismo
Seres Humanos
Agulhas
Fatores de Risco
Esfinterotomia Endoscópica
[Pt] Tipo de publicação:LETTER; COMMENT
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171031
[Lr] Data última revisão:
171031
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170615
[St] Status:MEDLINE


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[PMID]:28545082
[Au] Autor:Lin WC; Lin HH; Hung CY; Shih SC; Chu CH
[Ad] Endereço:Division of Gastroenterology, Department of Internal Medicine, Mackay Memorial Hospital, Taipei, Taiwan.
[Ti] Título:Clinical endoscopic management and outcome of post-endoscopic sphincterotomy bleeding.
[So] Source:PLoS One;12(5):e0177449, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Post-endoscopic sphincterotomy bleeding is a common complication of biliary sphincterotomy, and the incidence varies from 1% to 48%. It can be challenging to localize the bleeder or to administer various interventions through a side-viewing endoscope. This study aimed to evaluate the risk factors of post-endoscopic sphincterotomy bleeding and the outcome of endoscopic intervention therapies. We retrospectively reviewed the records of 513 patients who underwent biliary sphincterotomy in Mackay Memorial Hospital between 2011 and 2016. The blood biochemistry, comorbidities, indication for sphincterotomy, severity of bleeding, endoscopic features of bleeder, and type of endoscopic therapy were analyzed. Post-endoscopic sphincterotomy bleeding occurred in 65 (12.6%) patients. Forty-five patients had immediate bleeding and 20 patients had delayed bleeding. The multivariate analysis of risk factors associated with post-endoscopic sphincterotomy bleeding were liver cirrhosis (P = 0.029), end-stage renal disease (P = 0.038), previous antiplatelet drug use (P<0.001), and duodenal ulcer (P = 0.023). The complications of pancreatitis and cholangitis were higher in the bleeding group, with statistical significance. Delayed bleeding occurred within 1 to 7 days (mean, 2.5 days), and 60% (12/20) of the patients received endoscopic evaluation. In the delayed bleeding group, the successful hemostasis rate was 71.4% (5/7), and 65% (13/20) of the patients had ceased bleeding without endoscopic hemostasis therapy. Comparison of different therapeutic modalities showed that cholangitis was higher in patients who received epinephrine spray (P = 0.042) and pancreatitis was higher in patients who received epinephrine injection and electrocoagulation (P = 0.041 and P = 0.039 respectively). Clinically, post-endoscopic sphincterotomy bleeding and further endoscopic hemostasis therapy increase the complication rate of pancreatitis and cholangitis. Realizing the effectiveness of each therapeutic modalities and appropriate management of different levels bleeding are important.
[Mh] Termos MeSH primário: Hemorragia Gastrointestinal/etiologia
Esfinterotomia Endoscópica/efeitos adversos
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Idoso de 80 Anos ou mais
Criança
Colangite/complicações
Úlcera Duodenal/complicações
Epinefrina/uso terapêutico
Feminino
Hemorragia Gastrointestinal/prevenção & controle
Seres Humanos
Falência Renal Crônica/complicações
Cirrose Hepática/complicações
Masculino
Meia-Idade
Pancreatite/complicações
Complicações Pós-Operatórias
Estudos Retrospectivos
Fatores de Risco
Fatores de Tempo
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
YKH834O4BH (Epinephrine)
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170915
[Lr] Data última revisão:
170915
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170526
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0177449


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[PMID]:28422846
[Au] Autor:Sun GQ; Gao BF; Li GJ; Lei YL; Li J
[Ad] Endereço:Department of Anesthesia, Shandong Jiaotong Hospital, Jinan, Shandong, China.
[Ti] Título:Application of remifentanil for conscious sedation and analgesia in short-term ERCP and EST surgery.
[So] Source:Medicine (Baltimore);96(16):e6567, 2017 Apr.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:This study aims to observe and evaluate the use of remifentanil in conscious sedation and analgesia for the safety and comfort of patients undergoing short-term endoscopic retrograde cholangiopancreatography (ERCP) and endoscopic sphincterotomy (EST).Sixty-eight patients who underwent ERCP and EST were randomly divided into two groups: research group and control group. Patients in the research group were intravenously injected with remifentanil (80-2/3* age) for 1 to 2 minutes, combined with the intravenous injection of propofol (20-30 mg) during the course of treatment. ERCP surgery was performed when Ramsay sedation scale (RSS) score reached 2-3. During the surgery, patients were closely monitored for cough symptoms, aspiration, and respiratory and circulatory system performance, and timely treatment was performed. Sedative drugs were not given in patients in the control group.In research group, the circulatory and respiratory depression of patients was mild, only one patient needed to be treated, and there was no arrhythmia requiring treatment. Five patients had respiratory depression (blood oxygen saturation decreased to <90%), which was immediately corrected. There were no interruptions during surgery due to body movement, cough, or aspiration.The use of remifentanil for conscious sedation and analgesia can be broadly applied in short-term ERCP, which greatly improves patient comfort during the surgery. This approach may bear promise for a widespread use in future clinical practice.
[Mh] Termos MeSH primário: Anestésicos Intravenosos/uso terapêutico
Colangiopancreatografia Retrógrada Endoscópica/métodos
Sedação Consciente/métodos
Piperidinas/uso terapêutico
Esfinterotomia Endoscópica/métodos
[Mh] Termos MeSH secundário: Anestésicos Intravenosos/administração & dosagem
Feminino
Hemodinâmica
Seres Humanos
Masculino
Oxigênio/sangue
Piperidinas/administração & dosagem
Propofol/administração & dosagem
Mecânica Respiratória
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Nm] Nome de substância:
0 (Anesthetics, Intravenous); 0 (Piperidines); P10582JYYK (remifentanil); S88TT14065 (Oxygen); YI7VU623SF (Propofol)
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170509
[Lr] Data última revisão:
170509
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170420
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000006567



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