关于胰腺液收集管理的i-EUS共识 - 第1部分
Gabriele Capurso1, Giacomo Emanuele Maria Rizzo2, Chiara Coluccio3
1Pancreatico/Biliary Endoscopy & Endosonography Division, Pancreas Translational & Clinical Research Center San Raffaele Scientific Institut, Milan, Italy.
概括
胰腺液收集 (PFCs) 的管理正在转向使用光对立金属支架 (LAMS) 的内超声波 (EUS) 引导排水. 这一共识提供了关于PFC治疗指示,时间和技术的指导.
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.
- 胰腺学 胰腺学
背景情况:
- 胰腺液收集 (PFCs),包括胰腺伪囊和隔墙性亡,是胰腺炎和胰腺手术的常见并发症.
- 治疗已经从手术/放射学方法演变为基于内镜的方法,特别是内镜超声波 (EUS) 引导的排水.
- 防光金属支架 (LAMS) 已成为PFC排水的标准,但对管理方面的共识仍然有限.
研究的目的:
- 为PFCs的多学科管理提供基于证据的指导.
- 建立关于PFC治疗的指示的共识.
- 确定PFC干预的最佳时间和技术策略.
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管理的现有证据和专家意见的审查.
- 制定PFC治疗策略的建议.
主要成果:
- 本稿介绍了i-EUS共识会议的初步调查结果.
- 专注于PFC管理的指示,时间和技术方面.
- 强调LAMS.转向EUS指导干预的转变.
结论:
- 使用LAMS的EUS引导排水是PFC管理的当前标准.
- 需要进一步达成共识,以优化PFC的多学科方法.
- 该i-EUS小组的目标是为临床医生提供全面的指导.
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