相关实验视频
Updated: Jan 9, 2026

08:10
Robotic Lateral Pancreaticojejunostomy for Chronic Pancreatitis
Published on: December 14, 2019
11.6K
脂肪胰腺重要吗? 在胰腺肥胖症患者中评估ERCP后胰腺炎的风险:系统性审查和元分析
Vasileios Lekakis1, Margarita Papatheodoridi2, George V Papatheodoridis2
1First Academic Department of Gastroenterology, Medical School of National and Kapodistrian University of Athens, General Hospital of Athens "Laiko", 17 Agiou Thoma Street, 11527, Athens, Greece. lekakis.vas@gmail.com.
Digestive diseases and sciences
|December 1, 2025
概括
胰腺肥胖症 (PS) 显著增加了ERCP后胰腺炎 (PEP) 的风险和严重程度. 患有PS的患者患有PEP的发病率更高,这突出了其在风险评估中的重要性.
科学领域:
- 胃肠病学 胃肠病学
- 医疗成像医学成像
- 临床研究 临床研究
背景情况:
- 后内镜逆行性胆道血管细胞造影 (ERCP) 胰腺炎 (PEP) 是一个显著的并发症.
- 胰腺肥胖症 (PS) 越来越常见,可能会增加胰腺炎的风险,但其与PEP的关联不清楚.
研究的目的:
- 系统地评估胰腺肥胖症与PEP风险和严重程度之间的关联.
主要方法:
- 按照PRISMA指南进行的四项研究 (2108名患者) 的系统审查和元分析.
- 在 MEDLINE,Embase 和 Cochrane 数据库中进行了搜索.
- 使用随机效应模型计算聚合相对风险 (RRs).
主要成果:
- 胰腺肥胖症 (PS) 与PEP风险显著增加有关 (RR:2.69),PS患者的发病率为12%,非PS患者的发病率为6%.
- PS与轻度,中度和重度PEP的风险更高有关.
- 患有PS的患者患有糖尿病和女性性别的患病率更高.
结论:
- 胰腺肥胖症与PEP的风险和严重程度增加有关.
- 需要进一步的前性研究来验证这一关联.
- 可以将PS纳入PEP的程序前风险分层.
相关概念视频
Endoscopic Procedures V: ERCP
2.5K
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...
2.5K
Chronic Pancreatitis II: Collaborative Care
291
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:
291
Chronic Pancreatitis I: Introduction
648
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...
648
Acute Pancreatitis II: Clinical Manifestations and Management
705
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...
705
Acute Pancreatitis I: Introduction
1.1K
Pancreatitis is inflammation of the pancreas, an organ located behind the stomach. It can be either acute or chronic.
Acute pancreatitis is characterized by rapid inflammation of the pancreas, often caused by factors like gallstone blockage or excessive alcohol consumption. Chronic pancreatitis, on the other hand, is a slow, progressive inflammation that may result from long-term alcohol abuse, obstructions in the pancreatic duct, or genetic factors.
The causes of acute pancreatitis include:
Acute pancreatitis is characterized by rapid inflammation of the pancreas, often caused by factors like gallstone blockage or excessive alcohol consumption. Chronic pancreatitis, on the other hand, is a slow, progressive inflammation that may result from long-term alcohol abuse, obstructions in the pancreatic duct, or genetic factors.
The causes of acute pancreatitis include:
1.1K
