胰周积液内镜下引流:一项116例患者的病因学、引流技术和效果比较

作     者：Hookey L C. Debroux S. Delhaye M. J Devière 程妍(译) 王晓君(校) 

作者机构：不详 Department of Gastroenterology Erasme University Hospital Route de Lennik 808 1070 BrusselsBelgium 

出 版 物：《世界核心医学期刊文摘（胃肠病学分册）》 (Core Journals in Gastroenterology)

年 卷 期：2006年第2卷第9期

页      面：35-35页

学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

主　　题：胰周积液 引流技术 内镜下 效果比较 病因学 急性胰腺炎 慢性胰腺炎 引流术式 

摘      要：Background:Pancreatic-fluid collections are frequent sequelae of acute and chronic pancreatitis,and endoscopic drainage of these collections has gained acceptance as an alternative to surgical ***:Patient data,collection characteristics,drainage technique,and outcomes were obtained through chart review and prospective follow-up for 116 patients with attempted endoscopic drainage of symptomatic pancreatic-fluid ***:A total of 116 patients presented with fluid collections classified as acute fluid collection(n = 5),necrosis(n = 8),acute pseudocyst(n = 30),chronic pseudocyst(n = 64),and pancreatic abscess(n = 9).The median diameter of the collection drained was 60 mm(15-275 mm).Median follow-up after drainage was 21 *** drainage technique was transpapillary in 15 patients,transmural in 60,and both in *** resolution of symptoms and collection occurred in 87.9%of *** difference in success rates was observed between patients with acute pancreatitis and those with chronic ***,drainage of organized necrosis was associated with a significantly higher failure rate than other *** significant differences were observed regarding success when disease,drainage technique,or site of drainage was *** occurred in 13 patients(11%),and there were 6 deaths in the 30 days after drainage,including one that was procedure ***:Endoscopic drainage of pancreatic-fluid collections is successful in the majority of patients and is accompanied by an acceptable complication rate.