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内镜超声对沟槽性胰腺炎的诊断价值。

Diagnostic value of endoscopic ultrasound in groove pancreatitis.

机构信息

Department of Gastroenterology, Shengjing Hospital of China Medical University, Shenyang, China.

出版信息

Ann Med. 2023;55(2):2295991. doi: 10.1080/07853890.2023.2295991. Epub 2023 Dec 22.

Abstract

Groove pancreatitis (GP) is a rare type of chronic pancreatitis characterized by varying degrees of thickening and scarring of the duodenal wall, duodenal lumen stenosis, mucosal hypertrophy with plicae and cyst formation. GP is primarily observed in middle-aged male patients with a history of alcohol consumption. Clinical symptoms are usually non-specific, and there is currently no unified diagnostic standard. However, imaging methods, particularly endoscopic ultrasound (EUS), are useful for diagnosis. EUS-guided biopsy can provide a strong basis for the final diagnosis. This review summarizes the value of EUS and its derivative technologies in the diagnosis, differential diagnosis and treatment of GP. After searching in PubMed and Web of Science databases using 'groove pancreatitis (GP)' and 'endoscopic ultrasonography (EUS)' as keywords, studies related were compiled and examined. EUS and its derivative technologies are of great significance in the diagnosis, differential diagnosis, and treatment of GP, but there are still limitations that need to be comprehensively applied with other diagnostic methods to obtain the most accurate results. EUS has unique value in both the diagnosis and treatment of GP. Clinicians need to be well-versed in the advantages and limitations of EUS for GP diagnosis to select the most suitable imaging diagnostic method for different cases and to reduce the unnecessary waste of medical resources.

摘要

肠型胰腺炎(GP)是一种罕见的慢性胰腺炎,其特征为十二指肠壁不同程度增厚和瘢痕形成、十二指肠腔狭窄、黏膜肥厚伴皱襞和囊肿形成。GP 主要发生在有饮酒史的中年男性患者中。临床症状通常不特异,目前尚无统一的诊断标准。但影像学方法,特别是内镜超声(EUS),有助于诊断。EUS 引导下活检可为最终诊断提供有力依据。本文综述了 EUS 及其衍生技术在 GP 的诊断、鉴别诊断和治疗中的价值。通过在 PubMed 和 Web of Science 数据库中以“groove pancreatitis (GP)”和“endoscopic ultrasonography (EUS)”为关键词进行检索,编译并检查了相关研究。EUS 及其衍生技术对 GP 的诊断、鉴别诊断和治疗具有重要意义,但仍存在局限性,需要与其他诊断方法综合应用,以获得最准确的结果。EUS 在 GP 的诊断和治疗中均具有独特的价值。临床医生需要充分了解 EUS 对 GP 诊断的优缺点,以便为不同病例选择最合适的影像学诊断方法,减少不必要的医疗资源浪费。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dccf/10763902/0c2f84691c10/IANN_A_2295991_F0001_B.jpg

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本文引用的文献

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