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两全其美:内镜治疗胰腺假性囊肿。

Two's a Charm: Endoscopic Therapy of Multiple Pancreatic Pseudocysts.

机构信息

Surgery Emergency and GI Department, St. Orsola University Hospital, Bologna, Italy.

Department of Surgical Sciences, La Sapienza University, Umberto I Hospital, Rome, Italy.

出版信息

Dig Dis Sci. 2020 Jan;65(1):66-70. doi: 10.1007/s10620-019-05947-2.

DOI:10.1007/s10620-019-05947-2
PMID:31732908
Abstract

Pancreatic pseudocysts commonly complicate acute pancreatitis. They can evolve either asymptomatically or with important symptoms. Treatment can be surgical, endoscopic, or percutaneous. The authors present a case report of a 78-year-old man who developed symptoms of an acute abdomen during hospitalization. A CT scan showed two pancreatic pseudocysts (diameters 10 cm and 7.5 cm) that were successfully drained endoscopically. Multiple pancreatic pseudocysts can be treated successfully via an endoscopic approach.

摘要

胰腺假性囊肿常并发于急性胰腺炎。它们可能无症状或出现重要症状。治疗方法可以是手术、内镜或经皮。作者报告了 1 例 78 岁男性患者,他在住院期间出现急性腹痛症状。CT 扫描显示两个胰腺假性囊肿(直径分别为 10cm 和 7.5cm),通过内镜成功引流。多个胰腺假性囊肿可以通过内镜方法成功治疗。

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本文引用的文献

1
Endoscopic versus laparoscopic drainage of pseudocyst and walled-off necrosis following acute pancreatitis: a randomized trial.内镜与腹腔镜治疗急性胰腺炎后假性囊肿和包裹性坏死的引流:一项随机试验。
Surg Endosc. 2020 Mar;34(3):1157-1166. doi: 10.1007/s00464-019-06866-z. Epub 2019 May 28.
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Endoscopic management of pancreatic fluid collections.胰腺液体积聚的内镜治疗
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Laparoscopic Transgastric Sutured Cystogastrostomy for Post-traumatic Pancreatic Pseudocyst in a Low Resource Setting: Case Report and Literature Review.
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Endoscopic versus surgical treatment for pancreatic pseudocysts: Systematic review and meta-analysis.内镜治疗与手术治疗胰腺假性囊肿的系统评价和荟萃分析
Medicine (Baltimore). 2019 Feb;98(8):e14255. doi: 10.1097/MD.0000000000014255.
5
Endoscopic cystogastrostomy versus surgical cystogastrostomy in the management of acute pancreatic pseudocysts.内镜下囊肿胃造瘘术与外科囊肿胃造瘘术在急性胰腺假性囊肿治疗中的比较
J Minim Access Surg. 2020 Apr-Jun;16(2):126-131. doi: 10.4103/jmas.JMAS_109_18.
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Evolution of Transluminal Necrosectomy for Acute Pancreatitis to Stent in Stent Therapy: Step-Up Approach Leads to Low Mortality and Morbidity Rates in 302 Consecutive Cases of Acute Pancreatitis.急性胰腺炎经皮腔内坏死组织清除术向支架置入术的演变:逐步治疗法在302例连续急性胰腺炎病例中导致低死亡率和发病率
J Laparoendosc Adv Surg Tech A. 2019 Jul;29(7):891-899. doi: 10.1089/lap.2018.0768. Epub 2019 Feb 14.
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Superiority of Step-up Approach vs Open Necrosectomy in Long-term Follow-up of Patients With Necrotizing Pancreatitis.升阶梯治疗与开腹清创术治疗坏死性胰腺炎患者的长期随访结果比较。
Gastroenterology. 2019 Mar;156(4):1016-1026. doi: 10.1053/j.gastro.2018.10.045. Epub 2018 Nov 2.
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Endoscopic management of stent displacement after pancreatic pseudocyst drainage.胰腺假性囊肿引流术后支架移位的内镜处理
Endoscopy. 2018 Oct;50(10):E304-E306. doi: 10.1055/a-0655-1912. Epub 2018 Aug 8.
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Curr Treat Options Gastroenterol. 2018 Sep;16(3):333-344. doi: 10.1007/s11938-018-0189-8.
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BMC Res Notes. 2018 Apr 27;11(1):262. doi: 10.1186/s13104-018-3375-9.