脱节的胰腺管道的管理
Jahangeer Basha1, Sundeep Lakhtakia1
1Department of Gastroenterology, Asian Institute of Gastroenterology, AIG Hospitals, Gachibowli, Hyderabad 500032, Telangana, India.
Gastrointestinal endoscopy clinics of North America
|September 14, 2023
概括
在急性死性胰腺炎 (ANP) 后,胰腺管断路 (DPD) 是常见的. DPD可能导致各种并发症,包括反复的液体收集,疼痛和糖尿病.
科学领域:
- 胃肠病学 胃肠病学
- 胰腺学 胰腺学
背景情况:
- 胰腺管切断 (DPD) 经常发生在急性死性胰腺炎 (ANP) 后.
- DPD的临床意义各不相同,影响疾病进展和患者的治疗结果.
- 早期的ANP涉及亡和管道破坏,导致急性亡集合演变为隔墙亡 (WON).
研究的目的:
- 阐明急性死性胰腺炎 (ANP) 后胰腺管断裂 (DPD) 的临床影响和表现.
- 为了突出在ANP的后期阶段诊断证实DPD.
主要方法:
- 磁共振胆血管细胞造影 (MRCP) 用于DPD确认.
- 分析了与DPD相关的临床数据和患者结局.
主要成果:
- 在ANP的后期阶段,通过MRCP确认DPD.
- DPD的临床表现范围从无症状病例到复发性疼痛,胰腺液收集 (PFC),阻塞性胰腺炎和外部胰腺 (EPF).
- 一部分患有DPD的患者会发展出新发的糖尿病.
结论:
- 断开的胰腺管道 (DPD) 在急性瘤性胰腺炎 (ANP) 后呈现出不同的临床情景.
- 长期内置塑料支架是一种潜在的治疗策略,可以缓解反复出现的胰腺液收集 (PFC).
- 了解DPD的各种表现对于有效的患者管理至关重要.
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