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诊断后的急性胰腺炎 消化管胃管腺镜检查:一种罕见的术后并发症
Smriti Chaudhary1, Pranav Jha2
1Acute Medicine, Imperial College London, London, GBR.
Cureus
|November 28, 2025
概括
诊断内镜,特别是食道胃管内镜 (OGD),很少会导致急性胰腺炎. 在OGD期间在Vater的囊附近进行活检可能会导致这种并发症,需要谨慎的技术.
科学领域:
- 胃肠病学 胃肠病学
- 内镜检查是指内镜检查.
- 胰腺学 胰腺学
背景情况:
- 急性胰腺炎是ERCP的已知并发症.
- 在诊断出OGD后的胰腺炎是非常罕见的.
- 胰腺炎的阳性原因需要仔细考虑.
研究的目的:
- 报告一种罕见的急性胰腺炎病例,诊断后发生OGD.
- 要突出在OGD期间围活检的潜在风险.
- 强调谨慎内镜技术的重要性.
主要方法:
- 一个病人的病例报告在诊断OGD后发展为急性胰腺炎.
- 对临床表现,成像和患者病史的审查.
- 保守的管理方法,包括输液液体和止痛药.
主要成果:
- 患者呈现出表胃疼痛,成像证实胰腺炎.
- 没有证据表明胆结石,酒精使用或其他常见原因.
- 成功的保守管理导致完全康复.
结论:
- 在OGD期间,在Vater的囊附近的意外活检可以导致胰腺炎.
- 这种阳性并发症虽然不常见,但需要精细的活检技术.
- 及时识别和谨慎管理是患者康复的关键.
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