全覆盖金属支架在慢性胰腺炎治疗中的作用。

IF 2.3 Q3 GASTROENTEROLOGY & HEPATOLOGY
Clinical Endoscopy Pub Date : 2025-09-01 Epub Date: 2025-05-08 DOI:10.5946/ce.2024.349
Younghun Jeon, Hoonsub So, Sung Jo Bang
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引用次数: 0

摘要

慢性胰腺炎(CP)是一种进行性炎症性疾病,可导致不可逆的胰腺损伤,常并发导管狭窄和衰弱性疼痛。全覆盖自膨胀金属支架(fcems)已成为内镜下治疗难治性胰管狭窄的重要创新。本综述综合了最近的证据,强调了fcems的优点和局限性,例如与传统的塑料支架相比,fcems具有优越的通畅性,减少了对再干预的需求,有效缓解了症状,以及支架迁移和新生狭窄等风险。并对塑料支架与胰管狭窄的治疗方法进行了比较。美国、欧洲、日本和韩国临床指南的地区差异反映了将fcems纳入实践的不同方法。新兴的支架技术创新有望改善CP管理结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Role of fully covered metal stents in the management of chronic pancreatitis.

Role of fully covered metal stents in the management of chronic pancreatitis.

Chronic pancreatitis (CP), a progressive inflammatory disease that results in irreversible pancreatic damage, is often complicated by ductal strictures and debilitating pain. Fully covered self-expandable metal stents (FCSEMS) have emerged as significant innovations in the endoscopic management of refractory pancreatic duct strictures. This review synthesizes recent evidence highlighting the benefits and limitations of FCSEMS, such as superior patency, reduced need for reinterventions, and effective symptom relief compared to traditional plastic stents, alongside risks, such as stent migration and de novo strictures. A comparison with plastic stents and an algorithm for pancreatic duct stricture management are provided. Regional variations in clinical guidelines from the United States, Europe, Japan, and Korea reflect diverse approaches to integrating FCSEMS into practice. Emerging innovations in stent technology are promising for improving CP management outcomes.

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来源期刊
Clinical Endoscopy
Clinical Endoscopy GASTROENTEROLOGY & HEPATOLOGY-
CiteScore
4.40
自引率
8.00%
发文量
95
审稿时长
26 weeks
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