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内镜超声波导向的隔墙性坏死排水系统

Philippe Willems¹, Shyam Varadarajulu¹

¹Center for Advanced Endoscopy, Research & Education; Orlando Health Digestive Health Institute, 52 West Underwood Street, Orlando, FL 32806, USA.

Gastrointestinal endoscopy clinics of North America

|September 14, 2023

概括

最少侵入性内镜治疗是偏好的隔离性缩症,这是瘤性胰腺炎的并发症. 需要进一步的研究来优化护理和减少住院时间.

科学领域:

胃肠病学和肝病学
外科胃肠道外科手术

背景情况:

围墙性亡是亡性胰腺炎的一个重要并发症.
它可以导致严重的疾病,如败血症和器官阻塞,需要复杂的多学科管理.
新出现的证据有利于采用不那么侵入性的治疗方式.

研究的目的:

审查目前对隔墙性瘤的治疗策略.
突出对最少侵入性内镜干预的偏好.
确定未来研究领域,以优化患者护理和资源利用.

主要方法:

审查最近的数据和临床实践,关于隔墙性亡的管理.
内镜,穿皮和外科手术方法的比较.
对治疗结果和护理途径的分析.

主要成果:

带或不带死体切除术的内镜性透鼻排水是适合采集的主要干预措施.
穿皮排水和视频辅助的逆膜脱bridement或腹腔镜囊胃口术是收集不能接受内镜处理的替代方案.
最少侵入性的内镜策略越来越多地优先于传统的外科手术方法.

结论:

最少侵入性内镜方法是围墙性瘤的首选治疗方法.
对于复杂的病例,存在其他皮肤和外科手术方法.
进一步的研究对于完善术后护理,减少住院时间和优化资源使用至关重要.

关键词:

清算清算清算清算清算内镜排水系统的排水.内镜内切除术 (endoscopic necrosectomy) 是一种内镜内切除术.内镜式超声波检查结果微创手术是最少的侵入性手术.通过皮肤排水.围墙式亡 (walled-off necrosis) 是一种死亡的过程.

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