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相关概念视频

Endoscopic Procedures V: ERCP01:26

Endoscopic Procedures V: ERCP

332
Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
332
Chronic Pancreatitis II: Collaborative Care01:29

Chronic Pancreatitis II: Collaborative Care

113
The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
113
Endoscopic Procedures III: Video Capsule Endoscopy01:28

Endoscopic Procedures III: Video Capsule Endoscopy

186
Capsule endoscopy, or wireless or video capsule endoscopy, is a diagnostic procedure for examining the entire gastrointestinal tract. Patients swallow a capsule about the size of a vitamin tablet. The capsule is equipped with a transmitter, a battery, an LED light source, and a color video camera to capture images throughout the gastrointestinal tract. This procedure is particularly useful for diagnosing conditions such as Crohn's disease, ulcerative colitis, tumors, polyps, ulcers,...
186
Endoscopic Procedures I: Esophagogastroduodenoscopy01:29

Endoscopic Procedures I: Esophagogastroduodenoscopy

157
An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
157
Acute Pancreatitis II: Clinical Manifestations and Management01:30

Acute Pancreatitis II: Clinical Manifestations and Management

148
Acute pancreatitis presents a complex medical emergency characterized by rapid onset inflammation of the pancreas, demanding timely diagnosis and management to prevent complications. The condition primarily manifests through severe upper abdominal pain that often radiates to the back. This pain intensifies following the consumption of fatty foods. Accompanying symptoms such as nausea, vomiting, abdominal distention, fever, dyspnea, cyanosis, and jaundice can vary in intensity but significantly...
148
Chronic Pancreatitis I: Introduction01:24

Chronic Pancreatitis I: Introduction

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The pancreas, an elongated and flat gland situated behind the stomach, serves a vital function in digesting food and managing blood sugar levels.
Pancreatitis is the inflammation of the pancreas, which occurs when the immune system becomes active and causes swelling, pain, and disruptions in organ function. Pancreatitis can manifest as either an acute or chronic condition.
Acute pancreatitis arises suddenly and lasts for a brief duration, while chronic pancreatitis is a long-term affliction...
112

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Cost Utility Analysis of Covered vs. Bare Metal Stenting of the Mesenteric Arteries in Patients with Chronic Mesenteric Ischaemia: Results of a Multicentre Randomised Controlled Trial (CoBaGI).

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在胆结石胰腺炎的内镜检查

Marco J Bruno1

  • 1Department of Gastroenterology & Hepatology, Erasmus University Medical Center, Doctor Molewaterplein 40, Rotterdam 3015 GD, the Netherlands.

Gastrointestinal endoscopy clinics of North America
|September 14, 2023
PubMed
概括

紧急内镜逆行胆血管瘤学 (ERC) 建议用于胆管胰腺炎与胆管炎. 然而,ERC不适用于没有胆管炎的胆管胰腺炎,即使有胆结石或胆的证据.

科学领域:

  • 胃肠病学 胃肠病学
  • 肝病学 肝病学是一种肝病学.
  • 内镜手术 进行内镜手术

背景情况:

  • 胆汁性胰腺炎源于胆结石或污泥阻塞了Vater的囊泡,阻碍了胰腺管道的外流.
  • 目前的临床实践需要对内镜逆行胆血管瘤造影 (ERC) 进行精细的指导方针,以管理胆管胰腺炎.

研究的目的:

  • 制定关于在被诊断患有胆道胰腺炎的患者中进行ERC的适当时间和适用性方面的明确建议.

主要方法:

  • 一个系统的审查和对最近的研究和现有文献的元分析.
  • 基于胆管炎的存在或不存在以及成像检查结果的临床结果的评估.

主要成果:

  • 在患有胆管胰腺炎和并发性胆管炎的患者中,内镜逆行胆管胰腺炎 (ERC) 紧急应用于.
  • 对于预测轻度或重度胆管胰腺炎的患者,不建议紧急ERC,如果胆管炎不存在,无论内镜超声波 (EUS) 发现石头或污泥.

结论:

  • 胆道炎的存在或不存在是决定胆道胰腺炎ERC紧急性的关键因素.
  • 准则应根据相关的胆管炎区分ERC的适用情况,优化患者管理和资源配置.
关键词:
胆汁性胰腺炎 胆汁性胰腺炎胆固醇胆固醇质症是一种病.在 ERCP 中,ERCP 已成为 ERCP 的核心.胆结石胰腺炎 胆结石胰腺炎

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