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相关概念视频

Endoscopic Procedures V: ERCP01:26

Endoscopic Procedures V: ERCP

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Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
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Chronic Pancreatitis II: Collaborative Care01:29

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The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
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Acute Pancreatitis II: Clinical Manifestations and Management01:30

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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...
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Chronic Pancreatitis I: Introduction01:24

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The pancreas, an elongated and flat gland situated behind the stomach, serves a vital function in digesting food and managing blood sugar levels.
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Pancreatitis is inflammation of the pancreas, an organ located behind the stomach. It can be either acute or chronic.
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When developing expected outcomes for a patient care plan, the nurse should adhere to the following recommendations:
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Author Spotlight: Advancements in Retroperitoneal Approach for Necrotizing Pancreatitis
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对ERCP后胰腺炎的临床实践指南2023年

Shuntaro Mukai1, Yoshifumi Takeyama2, Takao Itoi1

  • 1Department of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan.

Digestive endoscopy : official journal of the Japan Gastroenterological Endoscopy Society
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概括

更新的临床实践指南提供了基于证据的预防,诊断和管理ERCP后胰腺炎 (PEP) 的策略. 关键建议包括胰腺管支架和NSAIDs,以减少ERCP患者的PEP发生率.

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临床实践指南的指导方针.内镜逆行性胆血管造机图 (cholangiopancreatography) 是一种内镜逆行式胆血管造机图.非类固醇抗炎药物是一种非类固醇抗炎药物.在ERCP后的胰腺炎.暂时的胰腺管道支架

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科学领域:

  • 胃肠病学 胃肠病学
  • 临床实践指南 临床实践指南
  • 胰腺学 胰腺学

背景情况:

  • 在ERCP后的胰腺炎 (PEP) 是内镜逆行胆血管瘤学 (ERCP) 最常见的并发症.
  • 自2015年以来,ERCP技术的进步和新的研究需要更新指南.
  • 这些指导方针重点关注接受ERCP的成年患者.

研究的目的:

  • 为PEP预防,诊断和管理提供最新的,基于证据的建议.
  • 为临床医生建立一个全面的框架,以尽量减少PEP风险.
  • 在制定指导方针时采用GRADE方法.

主要方法:

  • 用GRADE方法来评估证据和制定指导方针.
  • 审查了PEP的程序和患者相关的风险因素.
  • 综合了关于PEP的诊断标准和治疗方案的当前研究.

主要成果:

  • 建议对高风险患者进行内镜超声波,以避免不必要的ERCP程序.
  • 强调在影响PEP率方面,运营商的经验不如熟练的监督那么重要.
  • 建议监测血清胰腺酶水平和早期CT扫描以进行诊断.
  • 建议标准的急性胰腺炎治疗方案.
  • 强烈支持临时胰腺管支架和直肠NSAIDs用于PEP预防.

结论:

  • 2023年准则为减少PEP发病率和改善患者治疗结果提供了一个强有力的框架.
  • 基于证据的预防措施,如胰腺支架和NSAIDs至关重要.
  • 遵守最新的诊断和管理策略对于临床实践至关重要.