急性胰腺炎的内镜治疗

吕农华; 何文华

doi:10.3969/j.issn.1001-5256.2020.08.002

急性胰腺炎的内镜治疗

DOI: 10.3969/j.issn.1001-5256.2020.08.002

南昌大学第一附属医院消化内科

基金项目:

国家自然科学基金(81860122)；

详细信息

中图分类号: R576
计量
- 文章访问数: 1524
- HTML全文浏览量: 50
- PDF下载量: 286
- 被引次数: 0
出版历程
- 出版日期: 2020-08-20

Endoscopic therapy for acute pancreatitis

Department of Gastroenterology, The First Affiliated Hospital of Nanchang University

Research funding:

摘要

摘要:
30多年前经内镜逆行胰胆管造影及乳头肌切开取石术已用于急性胆源性胰腺炎的病因去除。近10余年来,内镜微创技术迅速发展,更广泛地用于治疗急性胰腺炎的后期并发症,如感染性胰腺坏死、胰腺假性囊肿、胰管中断综合征以及消化道瘘等。重点介绍了内镜在急性胰腺炎治疗中的应用及进展。
- 急性胰腺炎 /
- 内窥镜检查,消化系统 /
- 治疗学
Abstract:
Since more than 30 years ago,endoscopic retrograde cholangiopancreatography and papillary myotomy have been used to remove the cause of acute biliary pancreatitis.In the past 10 years,minimally invasive endoscopic technology has developed rapidly and has been widely used in the treatment of late complications of acute pancreatitis,such as infectious pancreatic necrosis,pancreatic pseudocyst,disconnected pancreatic duct syndrome,and gastrointestinal fistula.This article focuses on the advances in the application of endoscopy in the treatment of acute pancreatitis.
- acute pancreatitis /
- endoscopy,digestive system /
- therapeutics

HTML全文

参考文献(23)

[1] ARVANITAKIS M,DUMONCEAU JM,ALBERT J,et al. Endoscopic management of acute necrotizing pancreatitis:European Society of Gastrointestinal Endoscopy(ESGE)evidencebased multidisciplinary guidelines[J]. Endoscopy,2018,50(5):524-546.

[2] BARON TH,DIMAIO CJ,WANG AY,et al. American Gastroenterological Association clinical practice update:Management of pancreatic necrosis[J]. Gastroenterology,2020,158(1):67-75.

[3] BANG JY,WILCOX CM,ARNOLETTI JP,et al. Superiority of endoscopic interventions over minimally invasive surgery for infected necrotizing pancreatitis:Meta-analysis of randomized trials[J]. Dig Endosc,2020,32(3):298-308.

[4] Pancreas Study Group,Chinese Society of Gastroenterology,Chinese Medical Association; Editorial Board of Chinese Journal of Pancreatology; Editorial Board of Chinese Journal of Digestion. Chinese guidelines for the management of acute pancreatitis(Shenyang,2019)[J]. J Clin Hepatol,2019,35(12):2706-2711.(in Chinese)中华医学会消化病学分会胰腺疾病学组，《中华胰腺病杂志》编委会，《中华消化杂志》编委会．中国急性胰腺炎诊治指南(2019年，沈阳)[J]．临床肝胆病杂志，2019,35(12):2706-2711.

[5] LEPPNIEMI A,TOLONEN M,TARASCONI A,et al. 2019WSES guidelines for the management of severe acute pancreatitis[J]. World J Emerg Surg,2019,14:27.

[6] ASGE Standards of Practice Committee,MAPLE JT,BENMENACHEM T,et al. The role of endoscopy in the evaluation of suspected choledocholithiasis[J]. Gastrointest Endosc,2010,71(1):1-9.

[7] GARROW D,MILLER S,SINHA D,et al. Endoscopic ultrasound:A meta-analysis of test performance in suspected biliary obstruction[J]. Clin Gastroenterol Hepatol,2007,5(5):616-623.

[8] ANDERLONI A,GALEAZZI M,BALLARM,et al. Early endoscopic ultrasonography in acute biliary pancreatitis:A prospective pilot study[J]. World J Gastroenterol,2015,21(36):10427-10434.

[9] CROCKETT SD,WANI S,GARDNER TB,et al. American Gastroenterological Association institute guideline on initial management of acute pancreatitis[J]. Gastroenterology,2018,154(4):1096-1101.

[10] van BRUNSCHOT S,HOLLEMANS RA,BAKKER OJ,et al.Minimally invasive and endoscopic versus open necrosectomy for necrotising pancreatitis:A pooled analysis of individual data for 1980 patients[J]. Gut,2018,67(4):697-706.

[11] DARRIVERE L,LAPIDUS N,COLIGNON N,et al. Minimally invasive drainage in critically ill patients with severe necrotizing pancreatitis is associated with better outcomes:An observational study[J]. Crit Care,2018,22(1):321.

[12] HE WH,ZHU Y,ZHU Y,et al. The outcomes of initial endoscopic transluminal drainage are superior to percutaneous drainage for patients with infected pancreatic necrosis:A prospective cohort study[J]. Surg Endosc,2017,31(7):3004-3013.

[13] van BRUNSCHOT S,van GRINSVEN J,van SANTVOORT HC,et al. Endoscopic or surgical step-up approach for infected necrotising pancreatitis:A multicentre randomised trial[J].Lancet,2018,391(10115):51-58.

[14] BANG JY,ARNOLETTI JP,HOLT BA,et al. An endoscopic transluminal approach,compared with minimally invasive surgery,reduces complications and costs for patients with necrotizing pancreatitis[J]. Gastroenterology,2019,156(4):1027-1040.

[15] HE WH,LI LN,ZHU Y,et al. Endoscopic transmural drainage and necrosectomy of walled-off pancreatic necrosis[J]. China J Endosc,2017,23(3):83-87.(in Chinese)何文华，李罗娜，朱勇，等．经自然腔道内镜下胰腺包裹性坏死引流清创术[J]．中国内镜杂志，2017,23(3):83-87.

[16] AGHDASSI A,SIMON P,PICKARTZ T,et al. Endoscopic management of complications of acute pancreatitis:An update on the field[J]. Expert Rev Gastroenterol Hepatol,2018,12(12):1207-1218.

[17] Professional Committee of Pancreatic Disease,Chinese Medical Doctor Association. Chinese consensus on the multidisciplinary treatment(MDT)of acute pancreatitis[J]. J Clin Hepatol,2015,31(11):1770-1775.(in Chinese)中国医师学会胰腺病学专业委员会．中国急性胰腺炎多学科诊治共识意见[J]．临床肝胆病杂志，2015,31(11):1770-1775.

[18] ASGE Standards of Practice Committee,MUTHUSAMY VR,CHANDRASEKHARA V,et al. The role of endoscopy in the diagnosis and treatment of inflammatory pancreatic fluid collections[J]. Gastrointest Endosc,2016,83(3):481-488.

[19] HOLT BA,VARADARAJULU S. The endoscopic management of pancreatic pseudocysts(with videos)[J]. Gastrointest Endosc,2015,81(4):804-812.

[20] YANG J,CHEN YI,FRIEDLAND S,et al. Lumen-apposing stents versus plastic stents in the management of pancreatic pseudocysts:A large,comparative,international,multicenter study[J]. Endoscopy,2019,51(11):1035-1043.

[21] BANG JY,WILCOX CM,NAVANEETHAN U,et al. Impact of disconnected pancreatic duct syndrome on the endoscopic management of pancreatic fluid collections[J]. Ann Surg,2018,267(3):561-568.

[22] WILLINGHAM FF,BUSCAGLIA JM. Endoscopic management of gastrointestinal leaks and fistulae[J]. Clin Gastroenterol Hepatol,2015,13(10):1714-1721.

[23] TAKANO Y,YAMAMURA E,KUROKI Y,et al. Novel endoscopic treatment for colocutaneous fistula after severe acute pancreatitis:Filling with a polyglycolic acid sheet[J]. Endoscopy,2015,47(Suppl 1 UCTN):e424-e425.

施引文献

资源附件(0)

访问统计