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预防措施和ERCP后胰腺炎的危险因素:系统性审查和个人患者数据元分析
Christina J Sperna Weiland1, Venkata S Akshintala2, Anmol Singh2
1Department of Gastroenterology and Hepatology, Radboud University Medical Center, Geert Grooteplein Zuid 10, 6525 GM, Nijmegen, Netherlands. Christa.spernaweiland@radboudumc.nl.
Digestive diseases and sciences
|November 5, 2024
概括
门NSAIDs和大量的IV液体有效地减少ERCP后的胰腺炎 (PEP). 胰腺管支架没有显示任何益处,而困难的管道和先前的PEP病史增加了风险. 需要个性化预防策略.
科学领域:
- 胃肠病学 胃肠病学
- 临床试验 临床试验
- 医疗干预 医疗干预
背景情况:
- 后内镜逆行性胆固醇细胞造影 (ERCP) 胰腺炎 (PEP) 是一个重要的临床挑战.
- 关于联合预防措施及其基于患者风险概况的疗效的数据有限.
结论:
- 直肠NSAIDs和术前的IV液体是有效的PEP预防策略.
- 对组合疗法和个性化风险计算器的进一步研究是有必要的,以优化PEP预防.
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