在内镜超声波指导的壁外亡的管理中的争议
Yousuke Nakai1,2, Tomotaka Saito1, Tsuyoshi Hamada1,3
1Department of Gastroenterology, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
概括
隔墙性亡 (WON) 管理涉及内镜超声波引导的干预措施. 排水和尸体切除术的最佳时间仍在争论中,有可能使用新的支架进行主动方法.
科学领域:
- 胃肠病学 胃肠病学
- 干预性内镜检查是干预性的内镜检查.
背景情况:
- 围墙性亡 (WON) 是急性亡性胰腺炎的局部并发症.
- 较少的侵入性内镜超声波 (EUS) 导向排水和尸体切除术是首选的,而不是手术.
- 关于干预WON管理的最佳时间存在争议.
研究的目的:
- 审查目前关于EUS指导的WON管理的证据.
- 讨论围绕排水和尸体切除术时间的争议.
- 探索新型支架技术和结构化方法的作用.
主要方法:
- 对WON的EUS指导干预现有文献的审查.
- 分析了关于排水和尸体切除术时间的数据.
- 讨论安全性,有效性和长期结果.
主要成果:
- 内镜干预是最受欢迎的,但最佳时间仍在争论中.
- 用光线对立金属支架进行主动干预显示出潜力,但需要进一步研究.
- 结构化方法可以提高安全性和有效性,但尚未标准化.
结论:
- 通过EUS引导的WON管理正在发展.
- 需要进一步的研究,以建立标准化的协议和最佳的时间进行干预.
- 长期的结果,包括复发和胰腺功能,是关键考虑因素.
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