由于胰腺异体的发生,引起的急性瘤性胰腺炎是次要的
Melody Moreno Barrueco1, Fernando Berdugo Hurtado2, Concepción López Peña3
1Aparato Digestivo, Hospital Universitario Clínico San Cecilio, ESPAÑA.
Revista espanola de enfermedades digestivas
|September 14, 2023
概括
大多数被摄入的外体无害地通过,但像鱼骨这样的利物体可能会导致罕见的胃肠道并发症. 通过CT扫描进行早期检测和及时干预,包括内镜切除,对于更好的患者结果至关重要.
科学领域:
- 胃肠病学 胃肠病学
- 医疗成像医学成像
- 手术手术手术手术手术手术手术手术手术手术
背景情况:
- 摄入外体是很常见的,绝大多数都没有产生的问题.
- 只有1%的病例出现并发症,经常涉及鱼骨等利物体.
- 潜在的并发症包括粘膜穿孔,很少可能影响肝脏或胰腺等固体器官.
研究的目的:
- 审查摄入外体的成像方法的诊断效果.
- 讨论胃肠外体及其并发症的管理策略.
- 要突出内镜切除在临床实践中不断变化的作用.
主要方法:
- 计算机断层扫描 (CT) 是检测摄入外体和相关并发症的主要成像方法.
- 对胃肠外体摄入的临床管理方案的审查.
- 对手术和内镜切除技术的趋势进行分析.
主要成果:
- CT扫描显示在识别异物体和排除并发症方面具有很高的有效性.
- 尖的物体,特别是鱼骨,经常涉及到需要干预的情况.
- 早期治疗显著影响患者的预后.
结论:
- 虽然大多数异物是良性的,但通过CT快速诊断对于识别严重并发症至关重要.
- 腹腔镜和腹腔切除干预仍然是选择,但内镜切除越来越受欢迎.
- 及时和适当的管理,特别是内镜去除,是外体摄入有利结果的关键.
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