Nursing of endoscopic full-covered self-expanding removable metal stents implantation for bile duct anastomotic strictures after liver transplantation
10.3760/cma.j.issn.1672-7088.2017.07.006
- VernacularTitle:经内镜置入全覆膜自膨式可回收金属支架治疗肝移植后胆管吻合口狭窄患者的护理
- Author:
Xiuzhen GAO
;
Zhonghua GUO
;
Cheng ZHANG
;
Yulong YANG
;
Li LI
- Keywords:
Liver transplantation;
Nursing care;
Bile duct anastomotic stricture;
Endoscopic retrograde cholangiopancreatography;
Removable metal stent
- From:
Chinese Journal of Practical Nursing
2017;33(7):504-507
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the nursing points of endoscopic full-covered self-expanding removable metal stents (FCSERMS) implantation for bile duct anastomotic strictures after liver transplantation. Methods The clinical data of patients who were treated by endoscopic full-covered self-expanding removable metal stents implantation for bile duct anastomotic strictures after liver transplantation from January 2013 to July 2015 were retrospectively analyzed, and the nursing process were summarized. Results The group of 9 patients were successfully placed and removed with FCSERMS. There was no postoperative complication, such as stent migration, acute pancreatitis, biliary bleeding and intestinal leakage. All the bile duct strictures were relieved after FCSERMS removement. Followed up for 10-32 months, there was no symptom and sign of bile duct anastomotic stricture recurrent. Conclusions The key in nursing points of FCSERMS implantation for bile duct anastomotic strictures after liver transplantation are introducing the function of FCSERMS and therapeutic process to improve patient compliance, mastering the endoscopic operations, the placement and removal method of FCSERMS to short operation time, strengthening postoperative nasal bile duct care, paying attention to the observation, detection and treatment of postoperative complications after the metal stent placement and removement, as well as the continuing care during the period between placement and removment of FCSERMS.
