内镜在慢性胰腺炎治疗中的应用

John Baillie MB, ChB, FRCP
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引用次数: 2

摘要

慢性胰腺炎是一种慢性炎症性疾病,其特征是间歇性或持续的腹部和/或背部疼痛,最终的外分泌和内分泌功能不全,以及从胆道狭窄、胰腺假性囊肿到相关动脉假性动脉瘤的并发症。胰内治疗的目的包括缓解胰管梗阻(继发于结石、狭窄、乳头状狭窄和解剖异常)引起的慢性疼痛,为胰管破裂放置支架,以及治疗相关并发症,包括胆道梗阻和假性囊肿。John Baillie医学博士讨论了慢性胰腺炎患者内窥镜干预的指征。格蕾丝·埃尔塔,mdedeitor
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Endoscopy in the management of chronic pancreatitis

Commentary

Chronic pancreatitis is a chronic inflammatory disorder characterized by intermittent or continuous abdominal and/or back pain, eventual exocrine and endocrine insufficiency, and complications ranging from biliary strictures and pancreatic pseudocysts to pseudoaneurysms of related arteries. The goals of pancreatic endotherapy include relief of chronic pain from pancreatic duct (PD) obstruction (secondary to stones, strictures, papillary stenosis, and anatomic abnormality), stent placement for ductal disruptions, and treatment of related complications, including biliary obstruction and pseudocysts. John Baillie, MD, discusses the indications for endoscopic intervention in chronic pancreatitis patients.

Grace Elta, MD

Editor

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