- MeSH
- Cholangiography contraindications methods MeSH
- Cholangitis prevention & control MeSH
- Medical Errors prevention & control trends MeSH
- Guideline Adherence standards trends MeSH
- Drainage contraindications methods MeSH
- Hemobilia prevention & control MeSH
- Radiology, Interventional methods standards instrumentation MeSH
- Catheterization methods standards MeSH
- Contrast Media diagnostic use MeSH
- Humans MeSH
- Reference Standards MeSH
- Quality Control MeSH
- Sepsis prevention & control MeSH
- Statistics as Topic MeSH
- Stents standards adverse effects utilization MeSH
- Achievement MeSH
- Outcome and Process Assessment, Health Care methods standards MeSH
- Quality Improvement standards MeSH
- Bile Ducts MeSH
- Check Tag
- Humans MeSH
- Publication type
- Practice Guideline MeSH
Endoskopická retrográdna cholangiopankreatikografia patrila v nedávnej minulosti k základným diagnostickým a liečebným metódam viacerých chorôb biliárneho a pankreatického vývodného systému. Bola a bohužiaľ stále je spojená s viacerými komplikáciami, ktoré môžu viesť až k exitu pacienta a je preto považovaná za invazívnu metódu. K najzávažnejším komplikáciám patrí akútna pankreatitída a akútna cholangitída. Krvácanie a perforácia môžu komplikovať papilosfinkterotómiu, ktorá predchádza väčšine ďalších výkonov (extrakcia konkrementov, drenáže žlčových ciest a ductus pancreaticus). Výskyt závažných komplikácií viedol k snahe zredukovať počty ERCP. Umožnilo to hlavne zavedenie nových diagnostických metód, predovšetkým MRCP a EUS, čo prispelo k praktickému vyradeniu diagnostických ERCP. V súčasnosti je ERCP považovaná za metódu takmer čisto terapeutickú. Navyše boli publikované rozsiahle skúsenosti, ako znížiť výskyt komplikácií pri ERCP na najmenšiu možnú mieru. Mnohé z nich uplatňujeme aj na našom pracovisku, ktoré má skúsenosti z viac ako 10 000 vykonaných ERCP.
Endoscopic retrograde cholangiopancreatography in the recent past was one of the basic diagnostic and therapeutic methods of several biliary and pancreatic diseases. It was and is still associated with several complications that can lead to exit the patient and is therefore considered invasive methods. The most serious complications include acute pancreatitis and acute cholangitis. Bleeding and perforation may complicate papillosphincterotomy that precedes another performance (extraction of stones, drainage of biliary and pancreatic duct. The incidence of serious complications have led to efforts to reduce the number of ERCP. This allowed in particular the introduction of new diagnostic methods, especially MRCP and EUS, which led to the practical exclusion of diagnostic ERCP. At present, ERCP is considered to be purely therapeutic method. In addition, considerable experience has been published to reduce the incidence of complications in ERCP. Many of them can be applied to our clinic, which has experience of more than 10 000 ERCP performed.
- MeSH
- Pancreatitis, Acute Necrotizing prevention & control MeSH
- Cholangiopancreatography, Endoscopic Retrograde adverse effects trends MeSH
- Cholangitis prevention & control MeSH
- Iatrogenic Disease MeSH
- Hemorrhage prevention & control MeSH
- Humans MeSH
- Cholangiopancreatography, Magnetic Resonance trends MeSH
- Risk Factors MeSH
- Risk Adjustment MeSH
- Check Tag
- Humans MeSH
- MeSH
- Cholangiopancreatography, Endoscopic Retrograde adverse effects MeSH
- Cholangitis etiology prevention & control MeSH
- Cholecystitis etiology prevention & control MeSH
- Risk Assessment MeSH
- Hemorrhage etiology MeSH
- Humans MeSH
- Pancreatitis etiology drug therapy prevention & control MeSH
- Review Literature as Topic MeSH
- Ultrasonography methods adverse effects utilization MeSH
- Check Tag
- Humans MeSH
- MeSH
- Acute Kidney Injury etiology prevention & control therapy MeSH
- Budd-Chiari Syndrome etiology prevention & control therapy MeSH
- Digestive System Surgical Procedures methods utilization MeSH
- Cholangitis complications prevention & control therapy MeSH
- Infections drug therapy complications microbiology MeSH
- Hemorrhage complications prevention & control MeSH
- Humans MeSH
- Liver Diseases surgery pathology MeSH
- Delayed Graft Function etiology prevention & control therapy MeSH
- Postoperative Complications diagnosis etiology prevention & control MeSH
- Graft Survival drug effects radiation effects MeSH
- Liver Transplantation methods pathology utilization MeSH
- Outcome and Process Assessment, Health Care utilization MeSH
- Check Tag
- Humans MeSH
Závěrečná zpráva o řešení grantu Interní grantové agentury MZ ČR
Přeruš. str. : tab. ; 32 cm
Hlavním cílem je zjistit v prospektivní randomizované studii význam antibiotické profylaxe cholangitídy u endoskopické léčby biliární obstrukce. Dalším cílem je zjistit v této souvislosti bakteriemii a její vztah k bakteriální kontaminaci žlučových cest.; The main aim is to establish, in a prospective randomized study, the importance of antibiotic prophylaxis of cholangitis after endoscopic treatment of biliary obstruction. Another aim is to evaluate bacteriological blood and bile profiles.
- MeSH
- Antibiotic Prophylaxis MeSH
- Cholangiopancreatography, Endoscopic Retrograde adverse effects MeSH
- Cholangitis prevention & control drug therapy MeSH
- Cholestasis surgery MeSH
- Intraoperative Complications MeSH
- Conspectus
- Patologie. Klinická medicína
- NML Fields
- gastroenterologie
- NML Publication type
- závěrečné zprávy o řešení grantu IGA MZ ČR
- MeSH
- Cholangiopancreatography, Endoscopic Retrograde methods instrumentation utilization MeSH
- Cholangitis prevention & control MeSH
- Infections MeSH
- Humans MeSH
- Pancreatic Diseases diagnosis therapy MeSH
- Biliary Tract Diseases diagnosis therapy MeSH
- Postoperative Complications MeSH
- Postoperative Care MeSH
- Check Tag
- Humans MeSH
