胆囊和囊的奥迪疾病的疾病
B Joseph Elmunzer1, Emily Winslow2, Roberto De Giorgio3
1Division of Gastroenterology & Center for Digestive Health and Surgery, Atrium Health-Wake Forest University School of Medicine, Charlotte, North Carolina, USA.
功能失调的胆囊疾病 (DGBD) 和奥迪 (SOD) 是腹痛的常见原因. 目前的诊断标准侧重于症状和客观证据,远离旧的方法.
科学领域:
- 胃肠病学 胃肠病学
- 肝胆道疾病 肝胆道疾病
背景情况:
- 功能失调的胆囊疾病 (DGBD) 和奥迪脏疾病 (SOD) 与腹痛,胆道阻塞和胰腺炎有关.
- 当结构性原因不明显时,这些情况通常被考虑.
研究的目的:
- 审查DGBD和SOD不断变化的诊断标准.
- 为了突出远离传统诊断方法的转变,如测量力度和光学图.
- 强调胆囊切除术和ERCP更为限制性使用的趋势.
主要方法:
- 对DGBD和SOD目前的诊断标准和临床趋势的审查.
- 分析传统诊断方式使用率下降的情况.
- 审查罗马五项标准及其影响.
主要成果:
- 传统的诊断方法 (光学,测量) 不再是罗马标准的组成部分.
- 诊断现在集中在DGBD的胆道疼痛和SOD的客观阻塞/胰腺炎.
- 有一种已知的趋势是过度诊断和过度使用DGBD和SOD的危险治疗方法.
结论:
- 对DGBD和SOD的诊断方法变得更加限制性.
- 治疗反应的预测器,特别是胆道和胰腺SOD,是非常需要的.
- 需要进一步的研究来完善治疗策略和患者选择.
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