慢性胰腺炎诊治的进展
慢性胰腺炎;内镜治疗,许元鸿,郭克建,通讯作者:,Progressinthediagnosisandtreatmentofchronicpancreatitis,Yuan-HongXu,Ke-JianGuo,Correspondenceto:,Received:,Revis
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许元鸿, 郭克建, 中国医科大学附属第一医院胃肠胰外科 辽宁省沈阳市 110001
许元鸿, 副教授, 副主任医师, 主要从事胰腺疾病的诊断和治疗.
通讯作者: 许元鸿, 110001, 辽宁省沈阳市, 中国医科大学附属第一医院胃肠胰外科. yuanhongxu@hotmail.com
电话: 024-83283330
收稿日期: 2007-05-18 修回日期: 2007-08-20
Progress in the diagnosis and treatment of chronic pancreatitis
Yuan-Hong Xu, Ke-Jian Guo
Yuan-Hong Xu, Ke-Jian Guo, Department of Pancreatic and Gastroenterology Surgery, the First Affiliated Hospital of China Medical University, Shenyang 110001, Liaoning Province, China
Correspondence to: Dr Yuan-Hong Xu, Department of Pancreatic and Gastroenterology Surgery, the First Affiliated Hospital of China Medical University, Shenyang 110001, Liaoning Province, China. yuanhongxu@hotmail.com
Received: 2007-05-28 Revised: 2007-08-20
Abstract
Traditionally, the diagnosis of chronic pancreatitis (CP) requires confirmation by tests that measure perturbations of either pancreatic structure or function. The diagnostic criteria from the 2000 Survey in the Asia-Pacific Region are accepted internationally. The distinction between big- and small-duct CP has both diagnostic and therapeutic implications. Autoimmune pancreatitis (AIP) is recognized as one special type of CP. Endoscopic therapy is appealing because it may offer an alternative to surgical procedures for CP. Furthermore, endoscopic therapy does not preclude subsequent surgery if it is necessary. Operations for CP are varied, and there is no single operation for all patients. Malignancy must be excluded in the preoperative evaluation.
Key Words: Chronic pancreatitis; Endoscopic therapy
Xu YH, Guo KJ. Progress in the diagnosis and treatment of chronic pancreatitis. Shijie Huaren Xiaohua Zazhi 2007; 15(31): 3257-3260
摘要
传统的慢性胰腺炎(chronic pancreatitis, CP)诊断着眼于胰腺形态和功能的异常, 2000年亚太共识会确定的标准是目前国际上较为公认的标准. “大导管”、“小导管”胰腺炎的确定对CP的诊断和治疗具有双重价值. 自身免疫性胰腺炎作为CP的一个特殊类型越来越受到临床医生的关注. CP内镜治疗是另外一种很有前途的外科处理手段, 而且内镜手段并不排斥随后必须要进行的手术治疗 ......
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