我与ERCP40年的接触:服务,综合征和解决方案的传奇
Mohammad S Khuroo1,2,3
1Digestive Diseases Centre, Dr. Khuroo's Medical Clinic, Srinagar, India.
Journal of clinical and experimental hepatology
|November 17, 2023
概括
内镜逆行胆血管瘤造影 (ERCP) 已经推进了胃肠内镜,从而识别了诸如肝胆和胰腺病 (HBPA) 和奥迪动症 (SOD) 等综合征. 在肝移植患者中,ERCP还确定了胆道并发症.
科学领域:
- 胃肠病学 胃肠病学
- 内镜检查是指内镜检查.
- 肝病学 肝病学是一种肝病学.
背景情况:
- 四十年来,内镜逆行性胆血管细胞造影 (ERCP) 已经成为胃肠内镜的基石.
- 作者已经进行了超过1万次ERCP手术,包括诊断和治疗干预.
- 在诊断和了解各种肝胆和胰腺疾病方面,ERCP发挥了重要作用.
研究的目的:
- 突出ERCP在管理复杂的胃肠道疾病方面的诊断和治疗贡献.
- 通过ERCP详细识别和描述特定的临床综合征和疾病.
- 要强调ERCP对理解肝移植中的胆道并发症的影响.
主要方法:
- 应用ERCP作为对具有挑战性的临床病例的主要诊断工具.
- 执行Sphincter of Oddi测量仪 (SOM),以评估胆道和胰腺疼痛.
- 肝脏水症和肝移植后胆道并发症的管理等疾病的内疗.
主要成果:
- 认可肝胆和胰腺病 (HBPA) 作为流行地区胆道疾病的重要原因.
- 在儿童中确定复发性热性胆道炎 (RPC) 作为HBPA和门性胆道病变的后果.
- 诊断奥迪肌功能障碍 (SOD) 的,并证明尼菲迪平的疗效,同时确定异常的胰腺胆道结合和胆道并发症在肝移植接受者.
结论:
- 在定义和管理几个临床综合征方面,ERCP发挥了关键作用,包括HBPA,RPC和SOD.
- 该程序已经阐明了特定人群中的胆道疾病的病因学,并确定了肝移植患者的关键并发症.
- 欧洲肠道内镜继续是促进胃肠内镜和患者护理的不可或缺的工具.
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