儿童慢性胰腺炎的内镜治疗:十多年的单一中心经验
Malla Va Gangadhar Rao1, Ujjal Poddar2, S Rakesh Kumar1
1Department of Gastroenterology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Raebareli Road, Lucknow-226014 (India).
Pancreas
|October 31, 2025
概括
透视逆行胆血管瘤造影 (ERCP) 有效地管理儿科慢性胰腺炎 (CP),提供疼痛缓解和稳定外分泌/内分泌功能. 这种安全的手术在儿童中显示出很高的成功率,并有可控的并发症.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 干预性内镜检查是干预性的内镜检查.
背景情况:
- 成年人的慢性胰腺炎 (CP) 管理是通过ERCP建立的.
- 关于ERCP在儿科CP病例中的疗效的数据有限.
- 这项研究评估了ERCP的疼痛缓解及其对儿童不足的影响.
研究的目的:
- 评估治疗ERCP在患有CP的儿童中的成功,安全和有效性.
- 确定ERCP对儿科患者疼痛,外分泌和内分泌功能不全的影响.
- 提供关于ERCP临界儿科条件的ERCP结果的数据.
主要方法:
- 对前性维护数据库 (2010-2020年) 的回顾性分析.
- 包括患有CP的儿童 (≤18岁) 接受治疗ERCP.
- 收集关于临床细节,调查,程序和后续行动的数据.
主要成果:
- 分析了65名儿童 (平均年龄为12.8岁);69%是异常 CP.
- 高技术 (95.3%),内镜 (92.3%) 和临床 (85.6%) 的成功率.
- 在ERCP后观察到显著的疼痛缓解,缺乏症的不进展,并发症率低 (6.1%).
结论:
- 治疗ERCP对于儿科CP是安全有效的.
- 在儿童中,ERCP显著改善疼痛并稳定了外分泌/内分泌功能.
- 在10%的病例中,重复ERCP成功管理了症状复发.
相关概念视频
Chronic Pancreatitis II: Collaborative Care
306
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:
306
Endoscopic Procedures V: ERCP
2.7K
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...
2.7K
Chronic Pancreatitis I: Introduction
659
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...
659
Acute Pancreatitis II: Clinical Manifestations and Management
723
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...
723


