感染性死性胰腺炎的内镜治疗:通过标准化取得进展
Yan Zeng1, Jun-Wen Zhang2, Jian Yang3
1Department of Psychology, The Second Affiliated Hospital of Chongqing Medical University, Chongqing 400010, China.
World journal of gastroenterology
|June 11, 2025
概括
感染性瘤性胰腺炎 (INP) 的管理是复杂而多样化的. 本综述提出了一个结构化的框架,使用先进的成像和生物标志物来规范护理并改善患者的治疗结果.
科学领域:
- 胃肠病学 胃肠病学
- 干预性内镜检查是干预性的内镜检查.
- 胰腺学 胰腺学
背景情况:
- 感染性瘤性胰腺炎 (INP) 是急性胰腺炎的严重并发症,临床实践异质.
- 目前的管理策略,包括内镜超声波 (EUS) 引导的排水和逐步方法,由于技术和时间不一致,显示出不同的结果.
研究的目的:
- 综合证据,建立一个结构化的框架,以优化INP管理.
- 整合多学科决策,先进成像,EUS和生物标志物,以改善患者选择和干预时间.
主要方法:
- 对INP的内镜治疗现有证据的审查.
- 集成先进的成像 (3D重建,CE-CT/MRI) 和EUS评估.
- 纳入基于生物标志物的风险分层 (CRP,prokalcitonin).
主要成果:
- 拟议的框架强调多学科投入,先进的成像和生物标记物的使用.
- 标准化的关键组成部分包括内镜评估,程序策略和最佳干预时间.
- 专注于复杂收藏的个性化方法,并减少内镜除菌.
结论:
- 标准化INP的内镜管理可以提高临床结果,并最大限度地减少实践异质性.
- 拟议的框架为INP内镜护理的未来研究和指导方针开发提供了基础.
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