关于预防后内镜逆行性胆管瘤细胞学胰腺炎的最新情况
Bálint Gellért1, Árpád V Patai1, István Hritz1
1Department of Surgery, Transplantation and Gastroenterology, Division of Interventional Gastroenterology, Semmelweis University, Budapest, Hungary (Bálint Gellért, Árpád V. Patai, István Hritz).
Annals of gastroenterology
|May 23, 2024
概括
急性胰腺炎是内镜逆行性胆血管瘤学 (ERCP) 的显著并发症,影响3.5%-10%的患者. 本综述详细介绍了预防ERCP后胰腺炎的风险因素和干预措施.
科学领域:
- 胃肠病学 胃肠病学
- 临床医学 临床医学
背景情况:
- 急性胰腺炎是内镜逆行胆血管瘤造影 (ERCP) 最重要的并发症.
- 与ERCP相关的胰腺炎会给患者带来巨大的负担和医疗费用,在美国估计每年超过1.5亿美元.
- 有效的预防策略对于管理这种不良事件至关重要.
研究的目的:
- 为提供ERCP后胰腺炎风险因素的最新概述.
- 审查目前用于预防ERCP后胰腺炎的药理和内镜干预措施.
- 综合最近的文献和临床实践指南.
主要方法:
- 关于自最新主要社会建议以来发表的研究的文献综述.
- 对风险因素的分析,包括与患者相关的和与程序相关的因素.
- 评估预防策略,包括手术前和后的干预措施.
主要成果:
- 确定了导致ERCP后胰腺炎发展的关键风险因素.
- 对各种药理学药物 (例如,NSAIDs,somatostatin) 和内镜技术 (例如,胰腺管道支架,导线使用) 的总结证据.
- 强调了患者选择和程序优化的重要性.
结论:
- 对风险因素和基于证据的预防措施的全面了解对于尽量减少ERCP后胰腺炎至关重要.
- 根据个体患者的风险概况量身定制干预措施可以显著降低这种并发症的发生率.
- 对于所有执行ERCP的从业者来说,建议遵守更新的指南和持续评估预防策略.
相关概念视频
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