8岁儿童的大规模感染性胰腺坏死:内镜治疗
William F Abel1, Varun Kesar2, Reid D Wasserman1
1Virginia Tech Carilion, Department of Internal Medicine Roanoke Virginia USA.
JPGN reports
|May 17, 2024
概括
儿童胰腺炎通常是由药物引起的,可能导致严重的并发症. 胰腺内镜内切除术在年轻患者中有效治疗了大量的隔离性内细胞集合,导致显著的临床改善.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 干预性放射学 干预性放射学
- 手术病理学手术病理学
背景情况:
- 胰腺炎在儿童中很少见,通常与药物,先天性问题或严重疾病有关.
- 这一病例涉及一名患有胰腺炎的儿科患者,该病例是继6 - 默卡波图林治疗后的继发性胰腺炎.
- 病情逐渐演变为一个带有骨盆延伸的大型隔墙性体集合.
研究的目的:
- 为了评估内镜胰腺瘤切除术在治疗儿科患者的大型隔壁瘤集中的疗效.
- 通过微创内镜手术来证明成功的源控制和临床改善.
主要方法:
- 多学科团队咨询 (胃肠病学,儿科手术,干预放射学).
- 选择胰腺切除术作为首选的治疗方法,因为采集距离胃很近.
- 执行三个单独的内镜胰腺瘤切除手术.
主要成果:
- 成功管理大型,复杂的隔离壁的瘤性胰腺集合.
- 患者显著的临床改善,包括休克的消失.
- 在随后的门诊成像检查中显示出积极的结果.
结论:
- 胰腺内镜内切除术是小儿胰腺炎中大型隔离性死细胞集合的有效治疗方法.
- 在复杂的儿科病例中,最少的侵入性内镜方法可以获得有利的结果.
- 这一案例突显了胰腺切除术在患有严重胰腺炎并发症的年轻患者中成功的应用.
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