WhenPlasticandMetalStentsFailtoResolveBileLeaksandFistulas:Don’TGiveupYo-ReversetheFlow!

当置入塑料支架和金属支架无法解决胆漏和胆瘘时，可使用通过鼻胆管引流进行管理

导读：本文选自DDW摘要合集，作者来自美国弗吉尼亚梅森医疗中心。本文介绍了4例具有挑战性的持续性胆漏和胆瘘患者的病例，患者均通过鼻胆管（NB）引流并抽吸得到成功治疗。本文作者指出，当遇到塑料支架和金属支架无法解决的胆漏和胆瘘时，医生不应放弃，可考虑通过鼻胆管引流并抽吸，从而成功对患者进行治疗。

BackgroundAims背景与目标

Persistentbileleaksandbiliocutaneousfistulasarerarebutcanoccurinthefollowingsituations:Downstreamobstructionthatisnotfixablewithstents,e.g.post-surgicalanatomyandnarrowbileductsthatpreventplacementofFCSEMS,andascitesthatfailstoallowamaturebiliocutaneousfistulatoform.Persistentbileleaks/fistulascanhavesignificant

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