与胰腺炎相关的良性胆道狭窄:对成像检测结果和不断发展的内镜管理进行了审查
Mohamed Awali1, Gianna Stoleru2, Malak Itani1
1Washington University in St. Louis, St Louis, USA.
Abdominal radiology (New York)
|March 29, 2025
概括
胰腺炎可以在普通胆道 (CBD) 中引起良性胆道狭窄 (BBS),模仿恶性瘤. 管理专注于这些具有挑战性的病例的内镜技术.
科学领域:
- 胃肠病学 胃肠病学
- 肝病学 肝病学是一种肝病学.
- 手术瘤学手术瘤学
背景情况:
- 胆管狭窄通常源于恶性原因,但良性狭窄,特别是与胰腺炎相关的狭窄,具有临床意义.
- 与胰腺炎相关的良性胆道狭窄 (BBS) 通常会影响远端常见胆道 (CBD),并在各种形式的胰腺炎中发生.
研究的目的:
- 阐明胰腺炎相关BBS的病理生理学和临床放射学特征.
- 审查BBS目前的管理策略,强调内镜方法.
主要方法:
- 对与胰腺炎相关的良性胆道收缩现有文献的综述.
- 对临床放射学表现和诊断挑战的分析.
- 对内镜治疗方式的评估.
主要成果:
- 与胰腺炎相关的BBS存在于从无症状到阻塞性黄的范围.
- 这些狭窄可以模仿良性和恶性病因,使诊断复杂化.
- 内镜技术是管理这些狭窄的核心.
结论:
- 了解胰腺炎相关的BBS的独特特征对于准确诊断至关重要.
- 内镜管理为这些具有挑战性的胆道狭窄提供了有效的治疗选择.
- 进一步研究如何区分良性和恶性病因是有必要的.
相关概念视频
Esophageal Strictures-II: Clinical Features and Management
Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
Acute Pancreatitis II: Clinical Manifestations and Management
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...
Chronic Pancreatitis I: Introduction
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...
Chronic Pancreatitis II: Collaborative Care
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:
Endoscopic Procedures V: ERCP
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.
Patient...
Patient...
Chronic Pancreatitis I: Introduction
Chronic pancreatitis is a long-standing, relapsing inflammation of the pancreas, characterized by irreversible damage to the gland. It results in progressive destruction of the pancreatic parenchyma, fibrosis, and eventual loss of both exocrine and endocrine function. The disease may evolve gradually after multiple episodes of acute pancreatitis or develop independently.EtiologyChronic pancreatitis can arise from a variety of causes:Alcohol use is the leading cause, accounting for 70–80% of...


