胰腺脂肪透在内超声波上的模式:深入的特征
Tara Keihanian1, Salmaan A Jawaid, Wasif A Abidi
1Department of Gastroenterology and Hepatology, Baylor College of Medicine, Houston, Texas, USA.
European journal of gastroenterology & hepatology
|December 9, 2025
概括
内镜超声波 (EUS) 在脂肪胰腺中发现了三种扩散性胰腺回声性模式. 这些模式显示了类似的临床和实验室发现,有助于检测脂肪胰腺.
科学领域:
- 胃肠病学 胃肠病学
- 医疗成像医学成像
- 胰腺疾病 胰腺疾病
背景情况:
- 胰腺的扩散回声性 (DEP) 是通过内镜超声波 (EUS) 诊断脂肪胰腺的一个关键指标.
- 了解不同的DEP模式对于准确诊断和脂肪胰腺的管理至关重要.
研究的目的:
- 在EUS期间观察到的扩散性胰腺回声效应的独特模式的特征.
- 为了将这些EUS定义的DEP模式与脂肪胰腺患者的临床和实验室参数相关联.
主要方法:
- 在2015年1月至2022年6月期间,EUS对238名被诊断患有脂肪胰腺的患者进行了回顾性分析.
- 脂肪胰腺分布的分类分为三个模式: (a) 脂肪节约的扩散回声性, (b) 没有节约的扩散回声性,以及 (c) 延伸到胰腺边界之外的"棉花糖外观"的扩散回声性.
主要成果:
- 该研究包括238名患者,主要是女性 (69.7%),平均年龄为57.45岁,平均BMI为31.27kg/m2.
- 同时患有糖尿病和脂肪肝的患病率分别为26.9%和24.7%. 在33.8%的受试患者中发现了外分胰腺功能缺陷 (EPI).
- 在三个确定的DEP模式中,没有观察到临床模式的显著差异,包括糖尿病,脂肪肝或EPI流行率.
结论:
- 通过EUS识别的三种不同的扩散性胰腺回声性模式具有相似的临床和实验室特征.
- 识别这些基于EUS的DEP模式可以提高脂肪胰腺的检测和特征.
相关概念视频
01:25Ultrasound II: Endoscopic Ultrasound and FibroScan
506
Endoscopic Ultrasound (EUS) and FibroScan are valuable diagnostic tools in gastroenterology and hepatology, each with specific applications and techniques.
Endoscopic Ultrasound (EUS):
Endoscopic Ultrasound (EUS):
506
01:24Chronic 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
01:29Chronic 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