胰腺囊性病变的EUS指导切除:一个更新的审查
Mengruo Jiang1, Lisi Peng1, Yuwei Sun1
1Department of Gastroenterology, National Clinical Research Center for Digestive Diseases, Changhai Hospital, Navy Medical University, Shanghai, China.
Endoscopic ultrasound
|January 26, 2026
概括
以内式超声波 (EUS) 引导的切除,包括化疗切除 (EUS-PCC) 和射频切除 (EUS-RFA),为胰腺囊性病变 (PCL) 提供了一个有希望的微创治疗方法. 本综述详细介绍了这些创新的PCL疗法的技术,结果和安全性.
科学领域:
- 胃肠道学和肝病学
- 最少侵入性的手术
- 在瘤学瘤学.
背景情况:
- 胰腺囊性病变 (PCL) 的诊断越来越多,最佳管理仍在争论中.
- 目前对PCL的治疗策略缺乏共识,需要新的治疗方法.
- 至少侵入性技术正在获得PCL管理的引力.
研究的目的:
- 为PCLs提供内镜超声波 (EUS) 引导的废除技术的全面审查.
- 更新临床医生关于程序细微差别,患者选择标准和临床结果.
- 分析与EUS引导的胰腺囊化疗 (EUS-PCC) 和EUS引导的射频切除 (EUS-RFA) 相关的安全性和不良事件.
主要方法:
- 关于PCLs的EUS导向切除的当前文献的综述.
- 详细描述EUS-PCC (使用乙醇,lauromacrogol,化疗) 和EUS-RFA程序技术.
- 分析报告的患者选择,疗效和安全数据.
主要成果:
- 在EUS指导的废除包括化学废除 (EUS-PCC) 和射频废除 (EUS-RFA).
- 无论是EUS-PCC还是EUS-RFA,都在选择的PCL患者中显示出潜在的疗效.
- 在EUS-PCC和EUS-RFA之间,治疗指示,结果和安全概况有所不同.
结论:
- 以EUS指导的切除是一种不断发展的,最小侵入性的选择,用于管理特定的PCL.
- 需要进一步的研究来完善患者选择和优化治疗方案.
- 了解EUS-PCC和EUS-RFA的不同特征对于临床决策至关重要.
相关概念视频
Review and Preview
8.4K
In statistics, several tools are used to interpret the data. Measures of central tendency represent the characteristics of the data, such as mean, median, and mode. Additionally, measures of variance like standard deviation and range are used to find the spread of data from the mean. Relative standing measures the distance between data locations. Commonly used measures of relative standings are percentile, z score, and quartiles.
Percentiles are a type of fractile that partition data into...
Percentiles are a type of fractile that partition data into...
8.4K
Review and Preview
11.1K
Data are individual items of information obtained from a population or sample. Data may be classified as qualitative (categorical), quantitative continuous, or quantitative discrete. Because it is not practical to measure the entire population in a study, researchers use samples to represent the population. A random sample is a representative group from the population chosen by using a method that gives each individual in the population an equal chance of being included in the sample. Random...
11.1K
Cystic Fibrosis: Pathogenesis
864
Cystic fibrosis (CF), an autosomal recessive disorder, significantly affects the function of exocrine glands. This genetically inherited disease is characterized by the production of thick and sticky mucus, which can severely affect various organs and systems in the body.
CF is primarily caused by a genetic mutation in a chromosome 7 gene coding for the cystic fibrosis transmembrane conductance regulator (CFTR) protein. The most common gene mutation leading to CF is the ΔF508 mutation,...
CF is primarily caused by a genetic mutation in a chromosome 7 gene coding for the cystic fibrosis transmembrane conductance regulator (CFTR) protein. The most common gene mutation leading to CF is the ΔF508 mutation,...
864
Cystic Fibrosis: Management
516
Cystic fibrosis (CF) is an autosomal recessive disorder that predominantly affects individuals of Northern European descent, occurring at a rate of 1 in 3500. It is caused by a genetic mutation in a gene on chromosome 7, most commonly the ΔF508 mutation, that codes for the cystic fibrosis transmembrane conductance regulator (CFTR) protein. This results in thicker mucus secretions and obstruction pathologies in multiple organs, including the lungs and sinuses.
Sinus disease and chronic...
Sinus disease and chronic...
516
Pancreatic Juice and Secretion
2.9K
Pancreatic juice is a clear fluid produced by the pancreas, containing water, salts, sodium bicarbonate, and enzymes vital for digestion in the small intestine. It helps break down large molecules, facilitating nutrient absorption.
When acidic chyme from the stomach enters the duodenum, it triggers the release of secretin, a hormone that prompts pancreatic juice secretion. After a fatty meal, cholecystokinin, another hormone, stimulates gallbladder contraction and enhances enzyme-rich...
When acidic chyme from the stomach enters the duodenum, it triggers the release of secretin, a hormone that prompts pancreatic juice secretion. After a fatty meal, cholecystokinin, another hormone, stimulates gallbladder contraction and enhances enzyme-rich...
2.9K
Acute Pancreatitis I: Introduction
1.2K
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:
1.2K


