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慢性胰腺炎疼痛管理方面的进展
Amit Maydeo1, Nagesh Kamat2, Ankit Dalal2
1Institute of Gastrosciences, Sir H. N. Reliance Foundation Hospital and Research Centre, Girgaon, Mumbai, Maharashtra, India, 400004. amitmaydeo@gmail.com.
Current gastroenterology reports
|September 15, 2023
概括
慢性胰腺炎 (CP) 疼痛管理的最新进展侧重于内治疗,包括可生物降解的支架. 这种方法为难以治疗的疼痛提供了不那么侵入性的,潜在的成本效益低的第一线治疗方法.
科学领域:
- 胃肠病学 胃肠病学
- 疼痛管理 疼痛管理
- 内镜治疗疗法 内镜治疗
背景情况:
- 慢性胰腺炎 (CP) 疼痛管理数据有限.
- 了解CP病态形态至关重要,但不完整,使疼痛控制复杂化.
- 目前治疗心肌梗塞疼痛的方法正在不断发展.
研究的目的:
- 审查慢性胰腺炎 (CP) 疼痛管理方面的最新进展.
- 突出Endotherapy在CP疼痛管理中的作用.
- 讨论 CP 疼痛治疗策略的发展.
主要方法:
- 关于CP疼痛管理的最新文献的综述.
- 专注于内科医疗的进步,包括可生物降解的支架和内镜超声波引导的程序.
- 讨论手术选择,如全胰腺切除术与小岛自身移植.
主要成果:
- 可生物降解的胰腺支架在内分泌疗法中取得了成功,可能减少对多次手术的需求.
- 以内镜超声波为指导的腹腔复合阻塞是一种选择,可供精选患有衰弱性疼痛的患者选择.
- 带有小岛自移植的全胰腺切除术在小导管疾病方面表现有前途.
结论:
- 末端疗法是治疗不治 CP 疼痛的首选一线治疗方法,因为它具有最小的侵入性和可接受的并发症率.
- 可生物降解的支架可以在CP管理中提供成本效益.
- 适当的患者选择对于优化CP疼痛内镜和手术干预结果至关重要.
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