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[慢性胰腺炎的放射治疗。病例报告]

[Radiation therapy of chronic pancreatitis. Case report].

作者信息

Liebermeister E, Sautter-Bihl M L

机构信息

Klinik für Strahlentherapie, Städtisches Klinikum Karlsruhe.

出版信息

Strahlenther Onkol. 1998 May;174(5):284-5. doi: 10.1007/BF03038723.

DOI:10.1007/BF03038723
PMID:9614959
Abstract

BACKGROUND

Chronic pancreatitis is a severe inflammatory process leading to destruction of exocrine tissue, fibrosis and a sometimes fatal pancreatic necrosis. Therapeutic options are poor and restricted to an exclusively symptomatic treatment. In this situation any additional treatment option is welcome.

CASE REPORT

The present paper reports the successful irradiation of a patient with severe chronic pancreatitis resistant to any pretreatment. Pain relief was stated one week after beginning of the irradiation. Total dose was 7 Gy, applied with opposing ap/pa fields using 8 MV photons. Three years after treatment the patient has remained free from symptoms. He has gained 14 kg of weight and is working regularly.

摘要

背景

慢性胰腺炎是一种严重的炎症过程,可导致外分泌组织破坏、纤维化,有时还会引发致命的胰腺坏死。治疗选择有限,仅限于对症治疗。在这种情况下,任何额外的治疗选择都是受欢迎的。

病例报告

本文报告了一名对任何预处理均耐药的严重慢性胰腺炎患者接受放射治疗成功的案例。放疗开始一周后疼痛缓解。总剂量为7 Gy,采用8 MV光子通过前后对穿野照射。治疗三年后,患者一直无症状。他体重增加了14公斤,且正常工作。

相似文献

1
[Radiation therapy of chronic pancreatitis. Case report].[慢性胰腺炎的放射治疗。病例报告]
Strahlenther Onkol. 1998 May;174(5):284-5. doi: 10.1007/BF03038723.
2
Management of painful chronic pancreatitis with single-dose radiotherapy.
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3
Pancreatic ascites: successful treatment with pancreatic radiation.胰源性腹水:胰腺放疗成功治愈
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4
[Radiation therapy of painful chronic pancreatitis].[疼痛性慢性胰腺炎的放射治疗]
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5
Immunocytes and activated stellate cells in pancreatic fibrogenesis.胰腺纤维化形成中的免疫细胞与活化星状细胞
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Resolution of pancreatic ascites after low-dose radiation.低剂量放疗后胰源性腹水消退
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Quality of life assessment after pancreatic enzyme replacement therapy in chronic pancreatitis.慢性胰腺炎患者接受胰酶替代治疗后的生活质量评估
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[Chronic pancreatitis: diagnosis].[慢性胰腺炎:诊断]
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Natural course in chronic pancreatitis. Pain, exocrine and endocrine pancreatic insufficiency and prognosis of the disease.慢性胰腺炎的自然病程。疼痛、胰腺外分泌和内分泌功能不全以及疾病的预后。
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引用本文的文献

1
Current treatment options for chronic pancreatitis.慢性胰腺炎的当前治疗选择。
Curr Treat Options Gastroenterol. 2007 Oct;10(5):355-68. doi: 10.1007/s11938-007-0036-9.

本文引用的文献

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THE DIAGNOSIS AND TREATMENT OF ACUTE PANCREATITIS.急性胰腺炎的诊断与治疗
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Pancreatic pain: is there a medical alternative to surgery?胰腺疼痛:是否存在手术之外的医学治疗方法?
Digestion. 1993;54 Suppl 2:30-4. doi: 10.1159/000201100.
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X-ray therapy for acute pancreatitis.急性胰腺炎的X线治疗
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8
Treatment of pain in chronic pancreatitis by irradiation.通过放射治疗慢性胰腺炎疼痛
Acta Radiol Ther Phys Biol. 1973 Feb;12(1):9-16. doi: 10.3109/02841867309131086.
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