超声内镜在胰腺假性囊肿临床诊治中的进展

杜  磊1, 刘 校伸1, 王  灏1, 任  利2
1、青海大学研究生院
2、青海大学附属医院肝胆胰外科

摘要


胰腺假性囊肿(PPC)是胰腺液体积聚(PFC)中最常见的一类,常由急慢性胰腺炎、胰腺损伤、肿瘤或外
科手术后引起。当PPC引起临床症状或继发感染、出血等并发症时,需要临床干预。随着技术发展以及患者相关因
素的改善,超声内镜(EUS)下引导引流已成为PPC治疗的首选方式。本文结合近年文献对目前超声内镜下引流术
在胰腺假性囊肿的临床诊治中的进展进行综述。

关键词


超声内镜;胰腺假性囊肿;支架;微创治疗

全文:

PDF


参考


[1]Misra, D. and T. Sood, Pancreatic Pseudocyst. 2024.

[2]Banks, P.A., et al., Classification of acute pancreatitis-

-2012: revision of the Atlanta classification and definitions by

international consensus. Gut, 2013. 62(1): p. 102-11.

[3]Park, C., T.H. Kim and H.K. Chon, Successful

Endoscopic Ultrasound-Guided Treatment of a Spontaneous

Rupture of a Hemorrhagic Pancreatic Pseudocyst. Clin

Endosc, 2021. 54(5): p. 763-766.

[4]Seicean, A., et al., Endoscopic ultrasound drainage

of pancreatic fluid collections: do we know enough about

the best approach? Therap Adv Gastroenterol, 2023. 16: p.

17562848231180047.

[5]谭雪娇与陈卫刚.胰腺假性囊肿治疗方式的选

择.中华胰腺病杂志,2021.21(5):第396-400页.

[6]Bang, J.Y. and S. Varadarajulu, Endoscopic

ultrasound-guided management of pancreatic pseudocysts and

walled-off necrosis. Clin Endosc, 2014. 47(5): p. 429-31.

[7]Li, P., et al., A Chinese prospective multicenter

cohort study evaluating EUS-guided drainage of pancreatic

fluid collections using the Hot AXIOS system. Endosc

Ultrasound, 2023. 12(2): p. 259-265.

[8]Takahashi, K., et al., Tardive Peritonitis After

Endoscopic Ultrasound-Guided Pancreatic Pseudocyst

Drainage: A Case Report. Cureus, 2024. 16(5): p. e60179.

[9]Varadarajulu, S. and C.M. Wilcox, Endoscopic

placement of permanent indwelling transmural stents in

disconnected pancreatic duct syndrome: does benefit outweigh

the risks? Gastrointest Endosc, 2011. 74(6): p. 1408-12.

[10]Tellez-Avina, F.I., et al., Permanent Indwelling

Transmural Stents for Endoscopic Treatment of Patients

With Disconnected Pancreatic Duct Syndrome: Long-term

Results. J Clin Gastroenterol, 2018. 52(1): p. 85-90.

[11]Bang, J.Y., et al., Lumen-apposing metal stents

(LAMS) for pancreatic fluid collection (PFC) drainage: may

not be business as usual. Gut, 2017. 66(12): p. 2054-2056.

[12]Sousa, G.B., et al., Efficacy and safety of endoscopic

ultrasound-guided drainage of pancreatic pseudocysts

using double-pigtail plastic stents: A single tertiary center

experience. Clinics (Sao Paulo), 2021. 76: p. e2701.

[13]Ghoneem, E., et al., Technical and Clinical

Outcomes of Using a Single Wide-Caliber DoublePigtail Stent for Endoscopic Ultrasound-Guided Pancreatic

Pseudocyst Drainage: A Multicenter Prospective Study. GE

Port J Gastroenterol, 2023. 30(6): p. 414-421.

[14]Pausawasdi, N., et al., Effectiveness and Safety of a

Single 7-French Plastic Stent for Endoscopic Ultrasoundguided Pancreatic Pseudocyst Drainage and Long-term

Follow-up Outcomes. J Med Ultrasound, 2021. 29(4): p.

250-257.

[15]Lin, H., et al., Stent selection for endoscopic

ultrasound-guided drainage of pancreatic fluid collections:

a multicenter study in china. Gastroenterol Res Pract, 2014.

2014: p. 193562.

[16]Bang, J.Y., et al., Relationship between stent

characteristics and treatment outcomes in endoscopic

transmural drainage of uncomplicated pancreatic pseudocysts.

Surg Endosc, 2014. 28(10): p. 2877-83.

[17]范雪,闫秀娥与黄永辉.肠内延伸型胆管支架引

流治疗胰腺假性囊肿7例.中国微创外科杂志,2022.22

(3):第255-259页.

[18]Lee, B.U., et al., Newly designed, fully covered

metal stents for endoscopic ultrasound (EUS)-guided

transmural drainage of peripancreatic fluid collections: a

prospective randomized study. Endoscopy, 2014. 46(12): p.

1078-84.

[19]Sharaiha, R.Z., et al., Metal versus plastic for

pancreatic pseudocyst drainage: clinical outcomes and success.

Gastrointest Endosc, 2015. 82(5): p. 822-7.

[20]Siddiqui, A.A., et al., Fully covered self-expanding

metal stents versus lumen-apposing fully covered selfexpanding metal stent versus plastic stents for endoscopic

drainage of pancreatic walled-off necrosis: clinical outcomes

and success. Gastrointest Endosc, 2017. 85(4): p. 758-765.

[21]Ortizo, R.D., et al., Single-center experience

demonstrating low adverse events and high efficacy with selfexpandable metal esophageal and biliary stents for pseudocyst

and walled off necrosis drainage. Endosc Int Open, 2020. 8(9):

p. E1156-E1160.

[22]Lang, G.D., et al., EUS-guided drainage of

peripancreatic fluid collections with lumen-apposing metal

stents and plastic double-pigtail stents: comparison of efficacy

and adverse event rates. Gastrointest Endosc, 2018. 87(1): p.

150-157.

[23]Kumta, N.A., et al., EUS-guided drainage of

pancreatic fluid collections using lumen apposing metal stents:

An international, multicenter experience. Dig Liver Dis, 2019.

51(11): p. 1557-1561.

[24]Lennon, A.M. and S.S. Vege, Pancreatic Cyst

Surveillance. Clin Gastroenterol Hepatol, 2022. 20(8): p.

1663-1667.e1.

[25]Jones, M.J., et al., Imaging of indeterminate

pancreatic cystic lesions: a systematic review. Pancreatology,

2013. 13(4): p. 436-42.

[26]Visser, B.C., et al., Characterization of cystic

pancreatic masses: relative accuracy of CT and MRI. AJR Am

J Roentgenol, 2007. 189(3): p. 648-56.

[27]Kazim, E., et al., Endoscopic Ultrasound Guided

Pancreatic Pseudocyst drainage experience at a tertiary care

unit. Pak J Med Sci, 2020. 36(4): p. 637-641.

[28]Razpotnik, M., et al., Endoscopic ultrasound (EUS)

in pancreatic masses with inconclusive radiologic workup -

a case series and short review of the literature. Med Ultrason,

2021. 23(1): p. 107-110.

[29]Adimoolam, V., et al., Endoscopic ultrasound

identifies synchronous pancreas cystic lesions not seen on

initial cross-sectional imaging. Pancreas, 2011. 40(7): p.

1070-2.

[30]Ardengh, J.C., et al., Impact of endoscopic

ultrasound-guided fine-needle aspiration on incidental

pancreatic cysts. A prospective study. Scand J Gastroenterol,

2014. 49(1): p. 114-20.

[31]Cherciu, H.I., et al., Technical Performance, Overall

Accuracy and Complications of EUS-Guided Interventional

Procedures: A Dynamic Landscape. Diagnostics (Basel), 2022.

12(7).


Refbacks

  • 当前没有refback。