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Chronic Pancreatitis II: Collaborative Care01:29

Chronic Pancreatitis II: Collaborative Care

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The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
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Nursing Ethical Principles II01:27

Nursing Ethical Principles II

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Ethical principles are essential in guiding nurses to fulfill their responsibilities, focusing on the quality of nursing care and decision-making. These principles, including autonomy, beneficence, non-maleficence, justice, and fidelity, shape the ethical framework within healthcare settings.
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
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Acute Pancreatitis II: Clinical Manifestations and Management01:30

Acute Pancreatitis II: Clinical Manifestations and Management

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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...
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Endoscopic Procedures V: ERCP01:26

Endoscopic Procedures V: ERCP

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Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
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Esophageal Varices-II: Clinical Features and Management01:28

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Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
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Chronic Bowel Disorders: Introduction01:17

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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.
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Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction
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对管理肝外胆道癌症,胆道癌症的实践指南.

Hyung Sun Kim1, Mee Joo Kang2, Jingu Kang3

  • 1Department of Surgery, Pancreatobiliary Clinic, Yonsei University College of Medicine, Seoul, Korea.

Annals of hepato-biliary-pancreatic surgery
|April 28, 2024
PubMed
概括

韩国现在已经有了肝外胆道癌的临床指导方针,解决了亚洲人口中高发病率的问题. 该倡议旨在改善这种罕见癌症的患者治疗策略.

关键词:
胆道癌症是胆道的癌症.额外肝脏的 额外肝脏的准则 准则 准则 准则

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科学领域:

  • 在瘤学瘤学.
  • 胃肠病学 胃肠病学
  • 手术瘤学手术瘤学

背景情况:

  • 与西方国家相比,亚洲人群的非肝胆道癌 (EBDC) 发病率明显高于西方国家.
  • 韩国是全球EBDC发病率最高的国家之一.
  • 尽管EBDC的研究和治疗方面取得了进展,但韩国目前缺乏确定的临床指南.

研究的目的:

  • 在韩国建立第一个治疗肝外胆道癌症的临床指南.
  • 为EBDC的诊断和治疗提供一个标准化的框架.
  • 解决在EBDC流行率高的地区未得到满足的临床指导需求.

主要方法:

  • 开发涉及来自多个韩国外科和医学协会的合作努力.
  • 指南的内容是通过专门的小组会议来制定的,这些小组会议解决了关键的临床问题.
  • 一份初稿在临床指南委员会研讨会上进行了改进.

主要成果:

  • 为EBDC制定了一份全面的指导方针草案.
  • 该草案通过2021年11月的正式听证会进行了公开审查.
  • 准则的制定过程涉及到广泛的专家共识和审查.

结论:

  • 预计已建立的临床指南将对患有肝外胆道癌症的患者的治疗有显著的帮助.
  • 这一指南是朝鲜为EBDC提供标准化和基于证据的护理的关键一步.
  • 合作开发过程确保了指南反映了多学科的专业知识.