急性胰腺炎及其并发症的干预管理
Muaaz Masood1, Amar Vedamurthy1, Rajesh Krishnamoorthi1
1Division of Gastroenterology and Hepatology, Center for Digestive Health, Virginia Mason Franciscan Health, Seattle, WA 98101, USA.
Journal of clinical medicine
|September 27, 2025
概括
急性胰腺炎 (AP) 管理包括积极的液体,疼痛控制和早期养. 严重的病例受益于干预性放射学和内透镜排水,通过最少的侵入性技术改善结果.
科学领域:
- 胃肠病学 胃肠病学
- 干预性放射学 干预性放射学
- 外科胃肠道外科手术
背景情况:
- 急性胰腺炎 (AP) 是胃肠道住院的主要原因之一,通常是由于胆结石或酒精引起的.
- 管理策略取决于疾病的严重程度,从间歇性 edematous 到死炎.
- 最初的治疗侧重于液体复苏,疼痛管理和早期口服养.
研究的目的:
- 概述急性胰腺炎 (AP) 的当前管理策略.
- 详细介绍干预放射学 (IR) 和内镜手术在治疗严重AP并发症中的作用.
- 要突出在AP治疗中转向最少侵入性的方法的转变.
主要方法:
- 审查关于AP管理的当前文献.
- 干预性放射技术的描述 (例如,穿皮疏通,栓塞).
- 解释内镜程序 (例如,ERCP,EUS引导排水,DEN).
主要成果:
- 干预性放射学和内镜方法对于严重的AP并发症,如感染性缩和伪囊至关重要.
- 最少侵入性技术,包括双模排水 (DMD),显示出改善的结果,降低了发病率.
- 内镜管理是胰腺管中断和丸的关键.
结论:
- 通过综合内镜和IR技术,AP并发症的管理得到了改变.
- 胃肠病学和IR之间的多学科合作对于最佳的患者结果至关重要.
- 显而易见的是,面向最少的侵入性干预的趋势是显而易见的,减少了住院和发病率.
关键词:
急性胰腺炎是什么?血栓塞栓是什么意思 血栓塞栓是什么意思内镜超声波检查结果通过内镜检查 (endoscopy) 进行内镜检查干预性放射学是干预性的放射学.胰腺管道泄漏的情况胰腺缩的死亡.通过皮肤排水.伪动脉瘤是一种伪动脉瘤.这是一个伪囊.更多相关视频
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