胰腺亡:一个范围审查
Anthony Rainho1, Mira Sridharan2, Daniel S Strand3
1Division of Gastroenterology and Hepatology, University of Virginia Health System, Charlottesville, VA, USA.
Minerva gastroenterology
|October 31, 2024
概括
急性胰腺炎 (AP) 管理已经发展. 对于症状性胰腺亡 (PN),AP的并发症,微创性干预措施现在优先于开放式手术,改善患者的治疗结果.
科学领域:
- 胃肠病学 胃肠病学
- 手术创新 在外科创新.
- 基于证据的医学基于证据的医学.
背景情况:
- 急性胰腺炎 (AP) 是一个常见的胃肠道诊断,有大量的住院治疗.
- 胰腺亡 (PN) 是AP的主要并发症,导致发病率和死亡率增加.
- 从历史上看,PN的管理涉及最大的开放性瘤切除术.
研究的目的:
- 审查基于证据的症状性胰腺亡 (PN) 管理.
- 评估从开放性体切除术过渡到最小侵入性和内镜干预的情况.
- 讨论关于PN治疗的当前社会指导.
主要方法:
- 对回顾性和受控数据的审查.
- 对PN治疗的"逐步方法"的评估.
- 分析与不同干预策略相关的结果.
主要成果:
- 至少侵入性干预已经取代了症状PN的开放性切除术.
- "逐步方法"包括早期支持性护理和必要时的干预.
- 穿皮排水,微创手术和内镜治疗是关键的干预选择.
结论:
- 过渡到PN的最小侵入性干预措施改善了患者的死亡率,发病率和成本效益.
- 目前的标准是早期的支持性护理,其次是选择性的最小侵入性干预.
- 优化个人PN患者的精度管理是一个正在进行的研究领域.
相关概念视频
01:30Acute Pancreatitis II: Clinical Manifestations and Management
93
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...
93
01:29Chronic Pancreatitis II: Collaborative Care
70
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:
70
01:24Chronic Pancreatitis I: Introduction
72
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...
72
01:27Acute Pancreatitis I: Introduction
336
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:
336
01:16Necrosis
4.3K
Necrosis is considered as an “accidental” or unexpected form of cell death that ends in cell lysis. The first noticeable mention of “necrosis” was in 1859 when Rudolf Virchow used this term to describe advanced tissue breakdown in his compilation titled “Cell Pathology”.
Morphological Manifestations of Necrosis
Necrotic cells show different types of morphological appearance depending on the type of tissue and infection. In coagulative necrosis, cells become...
Morphological Manifestations of Necrosis
Necrotic cells show different types of morphological appearance depending on the type of tissue and infection. In coagulative necrosis, cells become...
4.3K