胰腺炎相关的良性胆道狭窄:影像学表现和内镜治疗的回顾。

IF 2.2 3区 医学 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
Mohamed Awali, Gianna Stoleru, Malak Itani, Ross Buerlein, Christopher Welle, Mark Anderson, Alex Chan
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引用次数: 0

摘要

胆道狭窄可能继发于一系列病因,其中大多数是恶性的,其余的与许多良性原因有关,包括胰腺炎。胰腺炎相关的良性胆道狭窄(BBS)主要累及远端胆管(CBD),可见于急性和慢性胰腺炎以及其他形式的胰腺炎,包括坏死性、沟槽性和自身免疫性胰腺炎。与胰腺炎相关的BBS患者存在广泛的临床谱,从无症状状态到胆道梗阻,这通常有助于对恶性肿瘤进行额外的检查和内镜评估和治疗。此外,这些狭窄的位置和外观使其具有各种模仿良性和恶性病因。在这篇文章中,我们将讨论胰腺炎相关BBS的病理生理学和临床放射学特征,同时提供一种以内窥镜技术为重点的治疗方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Pancreatitis-related benign biliary strictures: a review of imaging findings and evolving endoscopic management

Biliary strictures can be secondary to a gamut of etiologies, most of which are malignant and the remaining related to a host of benign causes, including pancreatitis. Pancreatitis related benign biliary strictures (BBS) primarily involve the distal common bile duct (CBD) and can be seen in acute and chronic pancreatitis as well as their other forms, including necrotizing, groove, and autoimmune pancreatitis. Patients with pancreatitis related BBS present along a wide clinical spectrum that spans from an asymptomatic state to biliary obstruction, which not uncommonly facilitates additional workup for malignancy and endoscopic evaluation and treatment. Furthermore, the location and appearance of these strictures lends itself to various imitating benign and malignant etiologies. In this article, we will discuss the pathophysiology and clinicoradiologic features of pancreatitis related BBS while providing a review of an approach to their management focusing on endoscopic techniques.

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来源期刊
Abdominal Radiology
Abdominal Radiology Medicine-Radiology, Nuclear Medicine and Imaging
CiteScore
5.20
自引率
8.30%
发文量
334
期刊介绍: Abdominal Radiology seeks to meet the professional needs of the abdominal radiologist by publishing clinically pertinent original, review and practice related articles on the gastrointestinal and genitourinary tracts and abdominal interventional and radiologic procedures. Case reports are generally not accepted unless they are the first report of a new disease or condition, or part of a special solicited section. Reasons to Publish Your Article in Abdominal Radiology: · Official journal of the Society of Abdominal Radiology (SAR) · Published in Cooperation with: European Society of Gastrointestinal and Abdominal Radiology (ESGAR) European Society of Urogenital Radiology (ESUR) Asian Society of Abdominal Radiology (ASAR) · Efficient handling and Expeditious review · Author feedback is provided in a mentoring style · Global readership · Readers can earn CME credits
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