胰腺内治疗的进展

Evolution of Pancreatic Endotherapy.

作者信息

Cui YongYan, Kozarek Richard A

机构信息

Department of Gastroenterology, Virginia Mason Medical Center.

出版信息

Gastrointest Endosc Clin N Am. 2023 Oct;33(4):679-700. doi: 10.1016/j.giec.2023.03.012. Epub 2023 May 3.

DOI:10.1016/j.giec.2023.03.012

PMID:37709404

Abstract

In the last half century, endotherapy for pancreatic diseases has changed considerably. Although endoscopic retrograde cholangiopancreatography (ERCP) and endoscopic ultrasound (EUS) were introduced initially as diagnostic tools, they quickly evolved into therapeutic tools for preventing and managing complications of pancreatitis. More recently, therapeutic endoscopy has shown potential in palliation and cure of pancreatic neoplasms. This article discusses the changing landscape of pancreatic endotherapy as therapeutic ERCP and EUS were introduced and because they have evolved to treat different diseases.

摘要

在过去的半个世纪里，胰腺疾病的内镜治疗发生了很大变化。虽然内镜逆行胰胆管造影术（ERCP）和内镜超声检查（EUS）最初作为诊断工具引入，但它们很快发展成为预防和管理胰腺炎并发症的治疗工具。最近，治疗性内镜检查在胰腺肿瘤的姑息治疗和根治方面显示出潜力。本文讨论了随着治疗性ERCP和EUS的引入以及它们发展到用于治疗不同疾病，胰腺内镜治疗领域的变化情况。