Braden Barbara, Dietrich Christoph F
Barbara Braden, Translational Gastroenterology Unit, Oxford University Hospitals NHS Trust, Oxford OX3 9DU, United Kingdom.
World J Gastroenterol. 2014 Nov 21;20(43):16191-6. doi: 10.3748/wjg.v20.i43.16191.
In the last decades, the treatment of pancreatic pseudocysts and necrosis occurring in the clinical context of acute and chronic pancreatitis has shifted towards minimally invasive endoscopic interventions. Surgical procedures can be avoided in many cases by using endoscopically placed, Endoscopic ultrasonography-guided techniques and drainages. Endoscopic ultrasound enables the placement of transmural plastic and metal stents or nasocystic tubes for the drainage of peripancreatic fluid collections. The development of self-expanding metal stents and exchange free delivering systems have simplified the drainage of pancreatic fluid collections. This review will discuss available therapeutic techniques and new developments.
在过去几十年中，急性和慢性胰腺炎临床背景下出现的胰腺假性囊肿和坏死的治疗已转向微创内镜干预。在许多情况下，通过使用内镜放置的、内镜超声引导技术和引流，可以避免外科手术。内镜超声能够放置跨壁塑料和金属支架或鼻囊肿管，用于引流胰周液体积聚。自膨式金属支架和免交换输送系统的发展简化了胰液体积聚的引流。本综述将讨论现有的治疗技术和新进展。
