胰腺包虫囊肿的表现和治疗：一项综合系统的文献综述和meta数据。

IF 2.8 2区医学 Q2 GASTROENTEROLOGY & HEPATOLOGY

Pancreatology Pub Date : 2025-02-01 DOI:10.1016/j.pan.2024.11.019

Berun A. Abdalla , Aland S. Abdullah , Deari A. Ismaeil , Hemn H. Kaka Ali , Omer H.G. Hawramy , Dana T. Gharib , Hoshmand A. Asaad , Karokh F. HamaHussein , Dlshad HamaSaeed Ahmed , Soran H. Tahir , Ali H. Hasan , Muhammed Bag A. Ali , Sasan M. Ahmed , Fakher Abdullah , Fahmi H. Kakamad

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引用次数: 0

摘要

包虫囊肿是胰腺中可发生的许多囊肿之一。这些囊肿的大小和位置都显著影响临床表现和治疗所需的手术方法。本研究旨在回顾有关胰腺囊液囊肿的文献，其表现和治疗策略。方法：对CINAHL、Pubmed/Medline、Cochrane Library、Web of Science和EMBASE数据库进行综合检索，确定截至2024年1月2日发表的英语研究。结果：患者平均年龄为35.4±17.4岁，女性92例（59.0%）。腹痛是最常见的主诉，92例（59.0%）患者报告。对棘球蚴抗原的血清学检测显示最高敏感性为67.0%，而计算机断层扫描显示敏感性为34.1%，超声检查显示敏感性为27.7%。在手术干预中，剖腹手术是最常用的方法，在42例（26.9%）的病例中使用。结论：胰腺包虫病虽罕见，诊断困难，但经适当治疗，预后良好。手术干预，通常联合阿苯达唑，仍然是主要的治疗方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Presentation and management of pancreatic hydatid cyst: A comprehensive systematic review of the literature with meta-data

Introduction

Hydatid cysts are among many cysts that can develop in the pancreas. Both the size and location of these cysts significantly influence clinical presentation and surgical approach required for management. This study aims to review the literature concerning pancreatic hydatic cysts, their presentations, and management strategies.

Methods

A comprehensive search was conducted across CINAHL, Pubmed/Medline, Cochrane Library, Web of Science, and EMBASE Databases to identify English-language studies published up to January 2nd, 2024.

Results

The mean age of the patients was 35.4 ± 17.4years, with females comprising 92 (59.0 %) of the cohort. Abdominal pain was the most common complaint, reported by 92 (59.0 %) patients. Serological testing for the echinococcal antigen demonstrated highest sensitivity at 67.0 %, whereas computed tomography exhibited a sensitivity of 34.1 %, and ultrasonography showed a sensitivity of 27.7 %. Among surgical interventions, laparotomy was the most frequently performed approach, utilized in 42(26.9 %) of the cases.

Conclusion

Although pancreatic hydatid cysts are rare and can be challenging to diagnose, their prognosis is generally favorable when appropriate therapeutic measures are employed. Surgical intervention, often combined with Albendazole, remains the mainstay of treatment.

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来源期刊

Pancreatology 医学-胃肠肝病学

CiteScore

7.20

自引率

5.60%

发文量

194

审稿时长

44 days

期刊介绍： Pancreatology is the official journal of the International Association of Pancreatology (IAP), the European Pancreatic Club (EPC) and several national societies and study groups around the world. Dedicated to the understanding and treatment of exocrine as well as endocrine pancreatic disease, this multidisciplinary periodical publishes original basic, translational and clinical pancreatic research from a range of fields including gastroenterology, oncology, surgery, pharmacology, cellular and molecular biology as well as endocrinology, immunology and epidemiology. Readers can expect to gain new insights into pancreatic physiology and into the pathogenesis, diagnosis, therapeutic approaches and prognosis of pancreatic diseases. The journal features original articles, case reports, consensus guidelines and topical, cutting edge reviews, thus representing a source of valuable, novel information for clinical and basic researchers alike.