第一个i-EUS关于胰腺液收集管理的共识 - - 第二部分
Gabriele Capurso1, Chiara Coluccio2, Giacomo Emanuele Maria Rizzo3
1Pancreatico/Biliary Endoscopy & Endosonography Division, Pancreas Translational & Clinical Research Center San Raffaele Scientific Institute, Milan, Italy.
概括
这项研究提供了基于证据的指导,用于管理胰腺液收集 (PFCs),重点是干预性内镜超声波 (EUS) 引导排水. 它涉及胰腺伪囊和隔墙性瘤等疾病的手术内和手术后护理.
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.
- 胆腺疾病 胆腺疾病
背景情况:
- 胰腺液收集 (PFCs),包括胰腺伪囊 (PPs) 和隔墙性亡 (WON),是胰腺炎和胰腺手术的常见并发症.
- 传统的治疗方法涉及手术和放射学方法,但现在更喜欢内镜方法,特别是使用光附加金属支架 (LAMS) 的内镜超声波 (EUS) 引导程序.
- 尽管取得了进展,但关于PFC多学科管理的共识仍然有限.
研究的目的:
- 提供基于证据的指导,关于PFC排水的程序内和程序后方面的指导.
- 建立对接受EUS引导PFC排水的患者的临床管理和随访的共识.
- 解决目前PFC管理指南中存在的空白.
主要方法:
- 由干预内镜和超声波 (i-EUS) 组组织的共识会议.
- 对PFC管理现有证据的审查和综合.
- 为干预性EUS引导的PFC排水程序制定建议.
主要成果:
- 本稿介绍了共识会议结果的第二部分.
- 专注于程序内和程序后的管理,包括临床护理和后续战略.
- 这些建议旨在标准化对用EUS导流排水处理的PFC的护理.
结论:
- 干预式EUS引导排水是PFCs的主要方法.
- 基于证据的标准化指导对于最佳的患者治疗结果至关重要.
- 需要进一步达成共识,以完善PFC的多学科管理协议.
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