在胆结石胰腺炎的内镜检查
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
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.
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