Department of Surgery, University of Louisville School of Medicine, Louisville, KY 40292, USA.
Surg Clin North Am. 2013 Jun;93(3):563-84. doi: 10.1016/j.suc.2013.02.009. Epub 2013 Apr 13.
Patients presenting with acute pancreatitis can be complex on different levels. Having a multifaceted approach to these patients is often necessary with radiographic, endoscopic, and surgical modalities all working to benefit the patient. Major surgical intervention can often be avoided or augmented by therapeutic and diagnostic endoscopic maneuvers. The diagnostic role of endoscopy in patients presenting with acute idiopathic pancreatitis can help define specific causative factors and ameliorate symptoms by endoscopic maneuvers. Etiologies of an acute pancreatitis episode, such as choledocholithiasis with or without concomitant cholangitis, microlithiasis or biliary sludge, and anatomic anomalies, such as pancreas divisum and pancreatobiliary ductal anomalies, often improve after endoscopic therapy.
患有急性胰腺炎的患者在不同层面上可能会变得复杂。对这些患者采用多方面的方法往往是必要的，包括放射学、内镜和外科手段，这些手段都旨在使患者受益。通过治疗和诊断性内镜操作，通常可以避免或增强主要的外科干预。在出现急性特发性胰腺炎的患者中，内镜的诊断作用可以帮助确定特定的致病因素，并通过内镜操作缓解症状。急性胰腺炎发作的病因，如伴有或不伴有胆管炎的胆总管结石、微结石或胆泥，以及解剖异常，如胰腺分裂和胰胆管异常，通常在内镜治疗后得到改善。
