复发性急性胰腺炎的内镜治疗
Pier Alberto Testoni1, Sabrina Testoni2
1Gastroenterology and Gastrointestinal Endoscopy, La Madonnina Clinic, Vita-Salute San Raffaele University, 20100 Milan, Italy.
内镜治疗有效地管理复发性急性胰腺炎 (RAP),当障碍物存在时,如胆结石或奥迪缩器功能障碍. 然而,它的实用性对于异常性RAP或当没有发现阻塞时不太清楚.
科学领域:
- 胃肠病学 胃肠病学
- 内镜检查是指内镜检查.
- 胰腺学 胰腺学
背景情况:
- 复发性急性胰腺炎 (RAP) 涉及胰腺炎的重复发作.
- 原因包括胆结石,奥迪缩器功能障碍 (SOD),导管异常,遗传和酒精.
- 异形性RAP (IRAP) 占了很大一部分,尽管先进的诊断可能会减少这一点.
研究的目的:
- 审查内镜治疗在管理RAP中的作用和结果.
- 评估内镜干预措施对RAP各种原因的有效性.
主要方法:
- 对用于RAP的内镜逆行胆血管细胞造影 (ERCP) 和内镜超声波 (EUS) 的文献综述.
- 基于确定病因和进行的内镜手术的结果分析.
主要成果:
- 内镜治疗是有效的RAP引起的机械障碍,如胆结石或1型SOD.
- 线切除术显示胰腺分裂成功,后背通道扩张.
- 在没有确诊的功能障碍的2型SOD和因有限的数据而对IRAP的有效性值得怀疑.
结论:
- 内镜治疗是阻塞性RAP的宝贵工具,改善了管理和结果.
- 仔细选择患者至关重要,特别是对于非阻塞性疾病和IRAP.
- 需要进一步的研究来澄清内疗在IRAP和非阻塞性RAP中的作用.
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