治疗儿童胆结石胰腺炎的治疗方法
Arianna Kahler-Quesada1, Insiyah Campwala1, Stefan Scholz2
1Department of Surgery, University of Pittsburgh Medical School, Pittsburgh, PA, USA.
Seminars in pediatric surgery
|July 6, 2025
概括
儿科胆结石胰腺炎正在上升,通常与肥胖有关. 目前的管理人员正在适应成人协议,但仍需要专门的儿科指南.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 肝病学 肝病学是一种肝病学.
- 手术管理的手术管理.
背景情况:
- 胆结石胰腺炎在儿童中越来越令人担忧.
- 病因正在从血液溶解性疾病转移到肥胖,口服避孕药的使用和怀孕.
- 现有的儿科指南主要是从成人协议中改编的.
研究的目的:
- 审查目前对儿科胆结石胰腺炎的管理策略.
- 突出需要专门针对儿科的共识指导方针.
主要方法:
- 对儿科胆结石胰腺炎的当前文献和管理方案的综述.
- 适应成年人治疗策略,包括液体复苏,肠道养,胆道胆病管理 (ERCP或手术第一方法),以及指数入院期间的胆囊切除术.
主要成果:
- 在指数入院期间,用于液体复苏,早期肠道食和胆囊切除的成人方案在儿科病例中有效.
- 胆固醇胆病的治疗包括ERCP或手术第一方法,并可能进行普通胆道探索.
结论:
- 目前对儿科胆结石胰腺炎的治疗依赖于适应的成人治疗方案.
- 需要进一步的研究来制定准确的,基于证据的指导方针,为儿科患者量身定制.
相关概念视频
Chronic Pancreatitis II: Collaborative Care
131
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:
131
Acute Pancreatitis II: Clinical Manifestations and Management
184
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...
184
Endoscopic Procedures V: ERCP
962
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...
962
Peptic Ulcer Disease IV: Management
148
Medical treatment strategies for peptic ulcers encompass various methods. The primary goal of treatment is to diminish gastric acidity and strengthen mucosal defense mechanisms.
The therapeutic approach involves ensuring adequate rest, implementing drug therapy, promoting smoking cessation, making dietary modifications, and emphasizing long-term follow-up care.
Pharmacological management
The prevailing therapy for peptic ulcers involves a combination of managing the patient's current...
The therapeutic approach involves ensuring adequate rest, implementing drug therapy, promoting smoking cessation, making dietary modifications, and emphasizing long-term follow-up care.
Pharmacological management
The prevailing therapy for peptic ulcers involves a combination of managing the patient's current...
148
Urinary Tract Calculi V: Nursing Management
33
AssessmentSubjective Data: Obtain a detailed health history, including any recent or chronic urinary tract infections, periods of immobilization, previous episodes of renal calculi, and medical conditions such as gout, benign prostatic hyperplasia, or hyperparathyroidism. Review the medication history for drugs that may influence stone formation, including allopurinol, analgesics, loop diuretics, or thiazide diuretics. Document the use of long-term indwelling catheters and any past surgical...
33
Chronic Pancreatitis I: Introduction
166
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...
166


