急性Pancreatitis。内视镜中

Everardo Muñoz-Anaya, J. A. López-Cossío, F. Téllez-Ávila
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引用次数: 0

摘要

急性胰腺炎是一种以腺泡细胞破坏为特征的病理,是其最常见的病因,酒精摄入和胆总管结石。诊断是临床的,基于修订的亚特兰大标准。目前,内镜治疗是急性胰腺炎继发并发症(胰腺和胰周积液、假性囊肿和坏死)的一线治疗方法,这些并发症与持续腹痛、十二指肠或胃流出道梗阻、胆道感染或梗阻有关。直接内镜下坏死性胰腺炎切除术已成为治疗急性坏死性胰腺炎的重要手段。
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Pancreatitis aguda. Manejo endoscópico
Acute pancreatitis is a pathology characterized by the presence of acinar cells destruction, being its most frequent etiologies alcohol consumption and choledocholithiasis. The diagnosis is clinical, based on the revised Atlanta criteria. Endoscopic management is currently the first-line treatment for complications secondary to acute pancreatitis (pancreatic and peripancreatic collections, pseudocysts and necrosis) that are associated with persistent abdominal pain, obstruction of the duodenal or gastric outflow tract, biliary infection or obstruction. Direct endoscopic necrosectomy has become an essential tool in the treatment of acute necrotizing pancreatitis.
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