外分胰腺衰竭:手术后出现的并发症
João Pedro Santos DE Lança Pereira1, Elisa Veigas1, Eurico Oliveira1
1Department of Internal Medicine, ULS Viseu Dão-Lafões, Viseu, Portugal.
Maedica
|August 29, 2025
概括
这份病例报告强调了一例罕见的异位胰腺功能缺陷 (EPI) 在手术后29年出现. 及时的酶替代和营养支持有效地解决了患者的症状和缺陷.
科学领域:
- 胃肠病学
- 外科瘤学
- 内分泌学
背景情况:
- 胰腺外分衰竭 (EPI) 是由胰腺酶不足引起的,导致吸收不良和体重减轻和等症状.
- 虽然EPI通常跟随慢性胰腺炎或胰腺手术,但很少记录其延迟发病.
研究的目的:
- 报告一个EPI病例, 发生在胰腺切除术后29年.
- 要强调与手术后EPI相关的诊断挑战和延长的延迟时间.
主要方法:
- 在胰腺管切除术29年后,一名71岁的女性患者出现了暗示吸收不良的症状.
- 诊断排除了其他病因,通过严重的便弹性酶减少证实了EPI.
- 治疗包括酶替代剂,维生素补充剂和利尿剂.
主要成果:
- 患者表现为疲劳,体重减轻,胀,腹,贫血,低蛋白和维生素缺乏.
- 治疗导致症状消失和实验室参数在12个月内正常化.
- 长达29年的EPI延迟是最长的记录之一.
结论:
- 这一案例突显了手术后EPI可能存在延长的潜伏期,造成诊断困难.
- 对于有胰腺手术史的患者来说,长期警至关重要.
- 及时补充酶和营养管理有效地扭转了与EPI相关的症状和缺陷.
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