Baron Todd H
Division of Gastroenterology and Hepatology, Mayo Clinic College of Medicine, 200 First Street SW, Charlton 8A, Rochester, MN 55905, USA.
Gastrointest Endosc Clin N Am. 2007 Jul;17(3):559-79, vii. doi: 10.1016/j.giec.2007.05.013.
Pancreatic pseudocysts arise as a complication of acute and chronic pancreatitis or pancreatic trauma (including postsurgical). Pancreatic necrosis occurs following severe pancreatitis and may evolve into an entity termed organized pancreatic necrosis that is endoscopically treatable. Pancreatic duct leaks are frequently seen in relation to pseudocysts and necrosis. Alternatively, pancreatic duct leaks may present with pleural effusions, ascites, or after pancreatic surgery or percutaneous drainage. Endoscopic treatment of pancreatic fluid collections and pancreatic duct leaks can be achieved using transpapillary and/or transmural stent placement.
胰腺假性囊肿是急性和慢性胰腺炎或胰腺创伤（包括手术后）的并发症。严重胰腺炎后会发生胰腺坏死，并可能演变成一种称为有组织性胰腺坏死的病变，可通过内镜进行治疗。胰腺导管漏常与假性囊肿和坏死相关。此外，胰腺导管漏可能表现为胸腔积液、腹水，或在胰腺手术后或经皮引流后出现。使用经乳头和/或经壁支架置入可实现对胰腺液体积聚和胰腺导管漏的内镜治疗。
