慢性胰腺炎的血管并发症及其管理
Dinesh Walia1, Anoop Saraya1, Deepak Gunjan2
1Gastroenterology and Human Nutrition Unit, All India Institute of Medical Sciences, New Delhi 110029, India.
World journal of gastrointestinal surgery
|September 13, 2023
概括
慢性胰腺炎会导致腹部疼痛和营养不良,导致诸如静脉和伪动脉瘤出血等并发症. 内镜治疗可以控制水出血,而伪神经瘤出血需要放射性干预.
科学领域:
- 胃肠病学和肝病学
- 血管外科 血管外科
- 干预性放射学 干预性放射学
背景情况:
- 慢性胰腺炎是一种渐进的纤维炎性胰腺疾病.
- 它导致腹痛,糖尿病,营养不良和各种并发症.
- 血管并发症包括静脉血栓,静脉和伪动脉瘤.
研究的目的:
- 审查慢性胰腺炎中血管并发症的管理.
- 为了区分治疗策略的水与伪动脉瘤出血.
- 概述手术相关出血的干预方法.
主要方法:
- 慢性胰腺炎及其血管后果的文献综述.
- 对内镜,放射学和手术管理技术的分析.
- 对出血并发症及其治疗结果的病例系列审查.
主要成果:
- 腹出血,通常来自静脉血栓,通常是通过内镜进行管理.
- 伪动脉瘤出血是一种严重的并发症,需要进行放射性干预 (例如,带有内血管消灭的数字减去血管造影).
- 通过皮肤或内镜超声波引导的方法是困难的伪动脉瘤出血的选择.
- 与手术相关的静脉出血通常是保守地管理的.
- 与手术相关的动脉出血可能需要放射性干预.
结论:
- 慢性胰腺炎的血管并发症需要定制的管理策略.
- 内镜治疗对水出血是有效的.
- 伪动脉瘤出血需要迅速,往往积极的放射性干预.
- 多学科的方法对于管理慢性胰腺炎的复杂出血情景至关重要.
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