相关实验视频
Updated: Jul 16, 2025

Robotic Lateral Pancreaticojejunostomy for Chronic Pancreatitis
Published on: December 14, 2019
在慢性胰腺炎中治理良性胆道狭窄症
Mohan Ramchandani1, Partha Pal2, Guido Costamagna3
1Department of Medical Gastroenterology, Asian Institute of Gastroenterology, 6-3-661, Somajiguda, Hyderabad, Telangana, India; Interventional Endoscopy, AIG Hospitals, Plot No 2/3/4/5 Survey, 1, Mindspace Road, Gachibowli, Hyderabad, Telangana 500032, India.
使用多个塑料支架或完全覆盖的自我扩展金属支架的内镜治疗对于慢性胰腺炎胆道收缩是有效的. 完全覆盖的自扩张金属支架在更少的程序中提供了可比的结果.
科学领域:
- 胃肠病学 胃肠病学
- 进行内镜干预.
- 胆道疾病 胆道疾病
背景情况:
- 良性胆道狭窄是慢性胰腺炎的常见并发症.
- 内镜治疗是主要的治疗方式.
- 关键的内镜选择包括多重塑料支架 (MPS) 和完全覆盖的自扩张金属支架 (FCSEMS).
研究的目的:
- 为了比较MPS和FCSEMS的疗效和程序要求,用于慢性胰腺炎相关的良性胆道狭窄.
- 为了确定治疗失败或复发的预测因素.
主要方法:
- 对慢性胰腺炎中良性胆道狭窄的内逆向胆道松造影 (ERCP) 程序的审查.
- 用MPS和FCSEMS治疗的患者之间的结局的比较.
- 分析与治疗成功或失败相关的因素.
主要成果:
- 在管理良性胆道狭窄时,FCSEMS安置不低于MPS.
- 与MPS相比,FCSEMS需要的ERCP会话要少得多.
- 头部化,严重的慢性胰腺炎和狭窄的长度预测较差的结果.
结论:
- 无论是MPS还是FCSEMS都是慢性胰腺炎相关胆道狭窄的可行的内镜选择.
- FCSEMS提供了一种不那么繁重的治疗过程,具有相似的疗效.
- 在内镜治疗失败一年后,应考虑进行外科手术.
相关概念视频
Chronic Pancreatitis II: Collaborative Care
Assessment:
Acute Pancreatitis II: Clinical Manifestations and Management
Chronic Pancreatitis I: Introduction
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...
Chronic Bowel Disorders: Introduction
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
Endoscopic Procedures V: ERCP
Patient...
Esophageal Strictures-II: Clinical Features and Management
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
