预防ERCP后并发症的预防
Lotfi Triki1, Andrea Tringali2, Marianna Arvanitakis1
1Department of Gastroenterology, Digestive Oncology and Hepatopancreatology, HUB Hôpital Erasme, Brussels, Belgium.
Best practice & research. Clinical gastroenterology
|May 15, 2024
概括
内镜逆行胆血管细胞造影 (ERCP) 对于胆道和胰腺问题至关重要. 诸如NSAIDs和预防性支架等策略有助于预防ERCP后胰腺炎,这是一个常见的并发症.
科学领域:
- 胃肠病学和内镜检查
- 手术并发症 手术并发症
- 胆道和胰腺疾病 胆道和胰腺疾病
背景情况:
- 内镜逆行胆血管瘤造影 (ERCP) 是一种广泛使用的内镜程序,用于诊断和治疗胆汁和胰腺疾病.
- 尽管ERCP已经常规使用了40多年,但与严重的并发症率有关,尤其是ERCP后胰腺炎 (PEP).
研究的目的:
- 审查目前对与ERCP并发症相关的风险因素的理解.
- 要突出不断发展的内镜技术和预防策略来管理与ERCP相关的并发症,特别是PEP.
主要方法:
- 审查关于ERCP技术,风险因素和预防措施的现有文献.
- 讨论药理干预措施 (例如,NSAIDs) 和程序修改 (例如,预防性胰腺支架,过水).
主要成果:
- 后ERCP胰腺炎仍然是最常见的并发症,需要主动管理.
- 为了减轻风险,已经制定了几种预防策略,包括直肠NSAID,胰腺管支架和静脉灌水.
结论:
- 充分了解ERCP风险因素对于安全的程序执行至关重要.
- 实施验证的预防方法是优化患者护理和减少ERCP相关的发病率的关键.
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