胆管恶性狭窄内镜射频消融术专家共识

Expert consensus on endoscopic radiofrequency ablation for malignant biliary strictures

内镜引导的胆管射频消融术是近年来新兴的胆管恶性狭窄的治疗手段,联合胆管支架引流和系统化疗等,可有效延缓肿瘤局部进展,改善患者生活质量,延长生存期,主要适用于无法手术的肝外胆管癌和壶腹癌患者。基于现有的临床循证医学依据,中华医学会消化内镜学分会、中国医师协会内镜医师分会消化内镜专业委员会和国家消化系统疾病临床医学研究中心(上海)组织相关专家,对其适应证、禁忌证、技术操作规范及并发症防治等方面进行讨论,并达成共识,旨在为胆管恶性肿瘤的临床规范化治疗提供参考。

Endoscopy-guided endobiliary radiofrequency ablation has been an emerging treatment for malignant biliary strictures in recent years.It can effectively delay the local progression of tumors,improve the quality of life,and prolong the survival of patients,combined with biliary stenting and systemic chemotherapy,etc,which is mainly suitable for inoperable patients with extrahepatic cholangiocarcinoma and ampullary cancer.Based on the existing clinical evidence,Digestive Endoscopology Branch of Chinese Medical Association,Digestive Endoscopy Professional Committee,Endoscopic Physicians Branch of Chinese Medical Doctor Association,and National Clinical Research Center for Digestive Diseases(Shanghai)organized relevant experts to discuss the indications,contraindications,technical operation specifications and complications prevention and treatment of endoscopic guided endobiliary radiofrequency ablation,and to reach consensus statements,providing references for the clinical standardized treatment for biliary malignant tumors.