慢性胰腺炎继发良性胆道狭窄治疗进展
Advances in the therapy for benign biliary stricture secondary to chronic pancreatitis
郭芮希 1刘雨 2王丹 3胡良皞3
作者信息
- 1. 海军军医大学基础医学院,上海 200433;海军军医大学第一附属医院消化内科,上海 200433
- 2. 海军军医大学第一附属医院消化内科,上海 200433;中国人民解放军东部战区总医院消化内科,江苏南京 210002
- 3. 海军军医大学第一附属医院消化内科,上海 200433
- 折叠
摘要
良性胆道狭窄是慢性胰腺炎的常见并发症,其治疗旨在缓解胆道梗阻症状,维持长期通畅引流.当胆道狭窄伴上游胆管扩张,出现黄疸、胆管炎、胆总管结石等并发症,或无明显症状下存在血清碱性磷酸酶升高(＞正常值上限的2～3倍)和(或)胆红素升高1个月时,需行内镜治疗或外科手术治疗.近年来随着新兴技术的不断涌现,胆管内射频消融等新技术有望为患者提供新的选择.文章就慢性胰腺炎继发良性胆道狭窄的治疗进展进行综述,以期为临床诊治提供参考.
Abstract
Benign biliary stricture(BBS)is a prevalent complication of chronic pancreatitis(CP),with treatment strategies primarily focused on alleviating symptoms of biliary obstruction andmaintaining long-term unobstructed drainage.Endoscopic or surgical treatment is indicated when a biliary stricture is associated with upstream bile duct dilation,complications such as jaundice,cholangitis,and choledocholithiasis occur,or when serum alkaline phosphatase levels are elevated(＞2-3 times the upper limit of normal)and(or)bilirubin levels are elevated for 1 month withoutobvious symptoms.In recent years,with the continuous emergence of new technologies,newtechnologies such as intrabile duct radiofrequency ablation are expected to provide new optionsfor patients.This article reviews the progress in treating benign biliary stricture secondary tochronic pancreatitis to provide a reference for clinical diagnosis and treatment.
关键词
慢性胰腺炎/良性胆道狭窄/经内镜逆行胰胆管造影/胆管内射频消融/外科手术Key words
pancreatitis,chronic/benign biliary stricture/endoscopic retrograde cholangiopancreatography/intrabile radiofrequency ablation/surgical procedures,operative引用本文复制引用
基金项目
国家自然科学基金(82200723)
中国博士后科学基金(第七十三批)(2023M734266)
出版年
2024
国家科技期刊平台
NSTL
万方数据