外分胰腺功能衰竭的评估和管理:珍珠和陷
Mitchell L Ramsey1, Phil A Hart1, Christopher E Forsmark2
1Division of Gastroenterology, Hepatology, and Nutrition, The Ohio State University Wexner Medical Center, Columbus, Ohio.
Current opinion in gastroenterology
|August 2, 2023
概括
管理外分胰腺功能障碍 (EPD) 需要仔细考虑严重程度. 胰腺酶替代疗法 (PERT) 对严重的EPD至关重要,对较轻的病例有量身定制的方法.
科学领域:
- 胃肠病学和肝病学
- 胰腺学 胰腺学
- 消化系统生理学 消化系统生理学
背景情况:
- 外分胰腺功能障碍 (EPD) 的诊断和管理存在挑战.
- 传统上,EPD源于胰腺状细胞功能障碍和酶输出减少.
- 其他疾病可以模仿EPD症状,尽管胰腺外分泌功能正常.
结论:
- 对EPD管理的细微方法,考虑到严重程度和促成因素,是必不可少的.
- PERT的处方应以EPD的严重程度为指导,并特别考虑胰腺癌.
- 通过基于证据的策略优化PERT可以改善患者的治疗结果.
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