相关实验视频
Updated: Jun 18, 2025

08:10
Robotic Lateral Pancreaticojejunostomy for Chronic Pancreatitis
Published on: December 14, 2019
11.0K
克罗恩氏病相关的粒状胰腺炎与外分胰腺功能不充分
Anthony A Xu1, Sara Vincent2, Samuel Ma2
1Section of Gastroenterology, Department of Medicine, Baylor College of Medicine, Houston, TX.
ACG case reports journal
|July 31, 2024
概括
在炎症性肠病中的胰腺问题在克罗恩病 (CD) 中更常见. 一个案例研究强调了粒状胰腺炎,导致诊断从性结肠炎转为CD,强调需要考虑胰腺参与IBD.
科学领域:
- 胃肠病学 胃肠病学
- 内部医学 内部医学
- 病理学 病理学 病理学
背景情况:
- 肠外表现 (EIM) 在炎症性肠病 (IBD) 中很常见,有助于显著的患者发病率.
- 胰腺参与IBD是公认的,与性结肠炎 (UC) 相比,克罗恩病 (CD) 的患病率更高.
研究的目的:
- 报告一种独特的胰腺颗粒状炎症病例,与外分胰腺功能不充分有关.
- 为了说明胰腺表现如何影响IBD的诊断和管理,特别是促使从UC转变为CD.
主要方法:
- 病例报告详细说明了临床表现,诊断工作和病理发现.
- 对炎症性肠病中的胰腺表现现现实的现有文献的综述.
主要成果:
- 一位最初被诊断患有性结肠炎的患者呈现出异位胰腺功能不全的症状.
- 组织病理学检查显示胰腺体中的颗粒状炎症.
- 这些发现导致了诊断的重新评估和诊断的切换到克罗恩病.
结论:
- 胰腺的表现,包括粒状炎症和外分泌功能不充分,可以发生在IBD.
- 这种胰腺干扰可能是一个关键的诊断线索,特别是在性结肠炎上暗示克罗恩病.
- 临床医生应在IBD患者中保持胰腺EIM的高怀疑指数.
相关概念视频
Chronic Pancreatitis I: Introduction
85
The pancreas, an elongated and flat gland situated behind the stomach, serves a vital function in digesting food and managing blood sugar levels.
Pancreatitis is the inflammation of the pancreas, which occurs when the immune system becomes active and causes swelling, pain, and disruptions in organ function. Pancreatitis can manifest as either an acute or chronic condition.
Acute pancreatitis arises suddenly and lasts for a brief duration, while chronic pancreatitis is a long-term affliction...
Pancreatitis is the inflammation of the pancreas, which occurs when the immune system becomes active and causes swelling, pain, and disruptions in organ function. Pancreatitis can manifest as either an acute or chronic condition.
Acute pancreatitis arises suddenly and lasts for a brief duration, while chronic pancreatitis is a long-term affliction...
85
Inflammatory Bowel Disease II: Crohn's Disease
206
Introduction
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
206
Acute Pancreatitis I: Introduction
350
Pancreatitis is inflammation of the pancreas, an organ located behind the stomach. It can be either acute or chronic.
Acute pancreatitis is characterized by rapid inflammation of the pancreas, often caused by factors like gallstone blockage or excessive alcohol consumption. Chronic pancreatitis, on the other hand, is a slow, progressive inflammation that may result from long-term alcohol abuse, obstructions in the pancreatic duct, or genetic factors.
The causes of acute pancreatitis include:
Acute pancreatitis is characterized by rapid inflammation of the pancreas, often caused by factors like gallstone blockage or excessive alcohol consumption. Chronic pancreatitis, on the other hand, is a slow, progressive inflammation that may result from long-term alcohol abuse, obstructions in the pancreatic duct, or genetic factors.
The causes of acute pancreatitis include:
350
Chronic Pancreatitis II: Collaborative Care
79
The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
Assessment:
79
Acute Pancreatitis II: Clinical Manifestations and Management
118
Acute pancreatitis presents a complex medical emergency characterized by rapid onset inflammation of the pancreas, demanding timely diagnosis and management to prevent complications. The condition primarily manifests through severe upper abdominal pain that often radiates to the back. This pain intensifies following the consumption of fatty foods. Accompanying symptoms such as nausea, vomiting, abdominal distention, fever, dyspnea, cyanosis, and jaundice can vary in intensity but significantly...
118
Chronic Bowel Disorders: Introduction
436
Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
436

