大型或多个伪囊可以阻碍或复杂化胰腺质病的非手术治疗
Satoshi Yamamoto1, Kazuo Inui2, Yoshiaki Katano1
1Department of Gastroenterology, Fujita Health University Bantane Hospital, Nagoya, Aichi, Japan.
Fujita medical journal
|May 26, 2023
概括
胰腺 (胰腺结石) 的非手术治疗是有效的,即使是小的伪囊. 然而,大或多个伪囊增加了需要手术的可能性.
科学领域:
- 胃肠病学 胃肠病学
- 内镜逆行胆血管细胞造影 (ERCP) 是一种内镜逆行胆血管细胞造影.
- 胰腺疾病 胰腺疾病
背景情况:
- 胰腺质病,以胰腺管中的石头为特征,通常需要干预.
- 胰腺伪囊可以与胰腺质病共存,可能使治疗复杂化.
- 非手术治疗是胰腺质病的首要方法,但它对伪囊的疗效仍有争议.
研究的目的:
- 评估共存伪囊对胰腺质病的非手术治疗结果的影响.
- 识别预测并发症或治疗失败的因素,如伪囊大小和数量.
主要方法:
- 在1992年至2020年期间,对165名胰腺质病患者进行了回顾性分析,这些患者在1992年至2020年期间接受了非手术治疗.
- 患者根据伪囊的存在,大小 (≥60毫米) 和数量进行分类.
- 包括缓解疼痛,石头清除,复发,不良事件和需要手术的结果在各组之间进行了比较.
主要成果:
- 非手术治疗产生了类似的疼痛缓解,石头清除和复发率,无论伪囊的存在或大小.
- 患有大量或多个伪囊的患者与没有伪囊 (9.0%) 患者相比,过渡到手术治疗的比率 (44%) 显著更高.
- 两组之间没有观察到不良事件的显著差异.
结论:
- 胰腺结石的非手术清除通常是成功的,即使是较小的伪囊.
- 大型或多个伪囊通过增加需要手术的可能性,使胰腺质症治疗复杂化.
- 如果非手术方法是无效的,请考虑早期手术干预大或多个伪囊的胰腺质病.
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