胰腺伪囊:过去,现在和未来
Jonathan Ga Koo1, Matthias Yi Quan Liau2, Igor A Kryvoruchko3
1Department of General Surgery, Khoo Teck Puat Hospital, Singapore 768828, Singapore.
World journal of gastrointestinal surgery
|August 1, 2024
概括
胰腺伪囊是胰腺炎4周后诊断出的液体积聚. 治疗取决于症状和并发症,可选择内镜或手术排水.
科学领域:
- 胃肠病学 胃肠病学
- 外科胃肠道外科手术
背景情况:
- 胰腺伪囊是一种胰腺炎后封装的液体收集与炎症壁.
- 诊断通常发生在胰腺炎发作后至少4周,经常出现非特异性腹痛.
研究的目的:
- 审查关于胰腺伪囊的当前文献.
- 讨论胰腺伪囊的定义,诊断和管理策略的演变.
主要方法:
- 关于胰腺伪囊管理的文献综述.
- 分析包括CT和MRI在内的诊断成像技术.
- 对诊断不确定性的内镜超声波 (EUS) 的评估.
主要成果:
- 胰腺伪囊需要至少4周的胰腺炎后诊断.
- 增强对比度的CT和MRI是主要的诊断工具.
- 内镜超声波在不确定的情况下有助于治疗,并发症包括出血,感染和阻塞.
结论:
- 管理是指导症状和并发症,如阻塞.
- 内镜或手术排水是主要的治疗方式.
- 该审查强调了胰腺伪囊护理的不断变化的格局.
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