慢性胰腺炎疼痛的内镜治疗的最新情况
Anthony M Rainho1, Owen C Battel, Vanessa M Shami
1University of Virginia Health, Charlottesville, Virginia, USA.
Current opinion in gastroenterology
|July 19, 2025
概括
慢性胰腺炎的疼痛管理是一项挑战. 本综述强调了慢性胰腺炎疼痛的非阿片类内镜选择,这在阿片类药物使用障碍的增加中至关重要.
科学领域:
- 胃肠病学 胃肠病学
- 进行内镜干预.
- 疼痛管理 疼痛管理
背景情况:
- 慢性胰腺炎带来了严重的疼痛管理挑战.
- 随着阿片类药物使用的增加,需要探索非阿片类药物替代品.
- 目前用于缓解疼痛的内镜方法正在发展.
研究的目的:
- 审查慢性胰腺炎疼痛管理的最新更新.
- 为高级内镜医生提供非阿片类药物疼痛管理策略的信息.
- 讨论内镜干预在慢性胰腺炎中的作用.
主要方法:
- 关于慢性胰腺炎疼痛管理的最新文献的综述.
- 分析最新的社会指导方针和建议.
- 评估当前和新兴的内镜技术.
主要成果:
- 对于慢性胰腺炎的疼痛,没有标准化的方法.
- 社会指南为医生提供最新的建议.
- 疼痛管理的内镜技术最近发生了有限的变化.
- 目前正在进行的研究比较了不同内镜方法的疗效.
结论:
- 慢性胰腺炎疼痛的内镜治疗是复杂的.
- 手术提供持久的疼痛缓解,但具有更高的风险.
- 内镜选择包括ERCP,ESWL,胰腺镜导向的光,以及EUS-CPB.
- 选择内镜干预取决于可疑的疼痛机制.
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