曲主要胰腺管综合征:单中心队列研究和综合审查
Timothy Adam1, Hannah Van Malenstein1, Wim Laleman1,2
1Department of Gastroenterology and Hepatology, Section of Liver & Biliopancreatic Disorders and Liver Transplantation, University Hospitals Leuven, KU Leuven, Belgium (Timothy Adam, Hannah Van Malenstein, Wim Laleman).
Annals of gastroenterology
|September 6, 2024
概括
主胰腺管曲 (MMPD) 是一种罕见的管变体,与胰腺炎有关. 内镜治疗在9名患有MMPD的患者中改善了症状,特别是那些患有管道高血压的患者.
科学领域:
- 胃肠病学 胃肠病学
- 胰腺学 胰腺学
- 内镜逆行胆血管细胞造影 (ERCP) 是一种内镜逆行胆血管细胞造影.
背景情况:
- 曲主要胰腺管 (MMPD) 是一种不常见的解剖变体,其特点是胰腺头部的发针或循环旋转.
- 怀疑MMPD是胰腺炎的诱导因素,但治疗数据很少.
研究的目的:
- 审查有关MMPD及其与胰腺炎相关的当前文献.
- 为了呈现一种带有症状的MMPD患者队列,接受内镜治疗.
主要方法:
- 进行了叙事文学评论.
- 分析了接受内镜治疗的9名有症状的MMPD患者的队列.
主要成果:
- 文献审查显示,关于MMPD的数据有限,特别是关于治疗的数据.
- 包括7个回顾性队列研究和4个病例报告.
- 在队列中,9名MMPD患者中有7名患有复发性急性胰腺炎;6名患者在接受内置治疗后症状有所改善,特别是在带管道高血压患者中.
结论:
- 目前文献中关于曲主要胰腺管 (MMPD) 和其治疗的数据很少.
- 这项研究强调了MMPD作为重复性急性胰腺炎的潜在原因.
- 建议Endotherapy作为症状MMPD患者的有效治疗方法,特别是带管道高血压的患者.
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