慢性胰腺炎并发症的管理:胃肠科医生指南
Gabriele Capurso1,2, Matteo Tacelli1,2, Giuseppe Vanella1,2
1Pancreatobiliary Endoscopy and Endosonography Division, Pancreas Translational & Clinical Research Center, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Expert review of gastroenterology & hepatology
|December 14, 2023
概括
慢性胰腺炎是一种复杂的疾病,引起疼痛和胰腺功能障碍. 胃肠病学家在通过内镜和医疗治疗来管理其局部和全身并发症方面发挥着关键作用.
科学领域:
- 胃肠病学 胃肠病学
- 胰腺学 胰腺学
- 内部医学 内部医学
背景情况:
- 慢性胰腺炎是一种复杂的综合征,其特征是疼痛和胰腺功能障碍.
- 它导致各种局部和全身并发症,影响患者的健康和生存.
- 早期和全面的治疗对于改善患者的治疗结果至关重要.
研究的目的:
- 审查有关胃肠科医生在治疗慢性胰腺炎中的作用的现有证据.
- 突出地方和全身并发症的诊断和治疗.
- 强调在专门的中心中采用整体方法的重要性.
主要方法:
- 非系统的PubMed搜索更新至2023年6月.
- 对诊断和治疗策略的现有证据的审查.
- 关注并发症的内镜和医疗管理.
主要成果:
- 慢性胰腺炎呈现出各种症状,包括疼痛,黄和阻塞.
- 系统性并发症包括外分泌/内分泌功能不充分,营养不良,骨质疏松症,骨质疏松症以及感染,血栓栓塞和癌症的风险增加.
- 在这些患者中,精神疾病也更为普遍.
结论:
- 胃肠科医生在诊断和治疗慢性胰腺炎及其并发症方面至关重要.
- 多学科的方法对于整体的患者评估和护理至关重要.
- 管理层应在专家中心解决明显的症状和微妙的系统问题.
相关概念视频
Chronic Pancreatitis II: Collaborative Care
92
The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
Assessment:
92
Acute Pancreatitis II: Clinical Manifestations and Management
125
Acute pancreatitis presents a complex medical emergency characterized by rapid onset inflammation of the pancreas, demanding timely diagnosis and management to prevent complications. The condition primarily manifests through severe upper abdominal pain that often radiates to the back. This pain intensifies following the consumption of fatty foods. Accompanying symptoms such as nausea, vomiting, abdominal distention, fever, dyspnea, cyanosis, and jaundice can vary in intensity but significantly...
125
Chronic Pancreatitis I: Introduction
90
The pancreas, an elongated and flat gland situated behind the stomach, serves a vital function in digesting food and managing blood sugar levels.
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...
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...
90
Gastritis III: Clinical Manifestations and Management
272
The clinical manifestations of gastritis can vary depending on the cause and type of gastritis, but some common symptoms may include the following.
Clinical manifestations of acute gastritis
The patient with acute gastritis may have a rapid onset of symptoms, such as epigastric pain or discomfort, dyspepsia, anorexia, hiccups, or nausea and vomiting, which can last from a few hours to a few days. Erosive or hemorrhagic gastritis may cause bleeding, which may manifest as blood in vomit or as...
Clinical manifestations of acute gastritis
The patient with acute gastritis may have a rapid onset of symptoms, such as epigastric pain or discomfort, dyspepsia, anorexia, hiccups, or nausea and vomiting, which can last from a few hours to a few days. Erosive or hemorrhagic gastritis may cause bleeding, which may manifest as blood in vomit or as...
272
Acute Pancreatitis I: Introduction
370
Pancreatitis is inflammation of the pancreas, an organ located behind the stomach. It can be either acute or chronic.
Acute pancreatitis is characterized by rapid inflammation of the pancreas, often caused by factors like gallstone blockage or excessive alcohol consumption. Chronic pancreatitis, on the other hand, is a slow, progressive inflammation that may result from long-term alcohol abuse, obstructions in the pancreatic duct, or genetic factors.
The causes of acute pancreatitis include:
Acute pancreatitis is characterized by rapid inflammation of the pancreas, often caused by factors like gallstone blockage or excessive alcohol consumption. Chronic pancreatitis, on the other hand, is a slow, progressive inflammation that may result from long-term alcohol abuse, obstructions in the pancreatic duct, or genetic factors.
The causes of acute pancreatitis include:
370
Chronic Bowel Disorders: Introduction
456
Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
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...
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...
456


