对“胆道污泥和微石症：我们是否涵盖了所有的结石性胆道疾病？””

IF 25.8 1区医学 Q1 GASTROENTEROLOGY & HEPATOLOGY

Gut Pub Date : 2025-10-05 DOI:10.1136/gutjnl-2025-337089

Simon Sirtl, Michal Zorniak, Julia Mayerle

{"title":"对“胆道污泥和微石症：我们是否涵盖了所有的结石性胆道疾病？””","authors":"Simon Sirtl, Michal Zorniak, Julia Mayerle","doi":"10.1136/gutjnl-2025-337089","DOIUrl":null,"url":null,"abstract":"We thank Mendonça Proença et al 1 for their thoughtful and constructive comments on our recently proposed consensus definition of biliary sludge and microlithiasis.2 We fully agree that only a globally standardised definition of sludge and microlithiasis will allow for high-quality prospective studies, thereby clarifying their pathophysiological relevance for both the development and recurrence of acute pancreatitis. The fourth category of biliary dust proposed by the authors, in addition to sludge, microlithiasis and gallstones, is intriguing but, in our view, not meaningful for several reasons. Not least, the PICUS-1 study demonstrated that diagnostic endoscopic ultrasound (EUS) is the first-line …","PeriodicalId":12825,"journal":{"name":"Gut","volume":"158 1","pages":""},"PeriodicalIF":25.8000,"publicationDate":"2025-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Response to ‘Biliary sludge and microlithiasis: are we covering the full spectrum of lithogenic biliary disorders?’\",\"authors\":\"Simon Sirtl, Michal Zorniak, Julia Mayerle\",\"doi\":\"10.1136/gutjnl-2025-337089\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"We thank Mendonça Proença et al 1 for their thoughtful and constructive comments on our recently proposed consensus definition of biliary sludge and microlithiasis.2 We fully agree that only a globally standardised definition of sludge and microlithiasis will allow for high-quality prospective studies, thereby clarifying their pathophysiological relevance for both the development and recurrence of acute pancreatitis. The fourth category of biliary dust proposed by the authors, in addition to sludge, microlithiasis and gallstones, is intriguing but, in our view, not meaningful for several reasons. Not least, the PICUS-1 study demonstrated that diagnostic endoscopic ultrasound (EUS) is the first-line …\",\"PeriodicalId\":12825,\"journal\":{\"name\":\"Gut\",\"volume\":\"158 1\",\"pages\":\"\"},\"PeriodicalIF\":25.8000,\"publicationDate\":\"2025-10-05\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Gut\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1136/gutjnl-2025-337089\",\"RegionNum\":1,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"GASTROENTEROLOGY & HEPATOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Gut","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1136/gutjnl-2025-337089","RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"GASTROENTEROLOGY & HEPATOLOGY","Score":null,"Total":0}

引用次数: 0

摘要

我们感谢mendona proena等人1对我们最近提出的胆道污泥和微结石的共识定义进行了深思熟虑和建设性的评论我们完全同意，只有污泥和微石症的全球标准化定义才能进行高质量的前瞻性研究，从而阐明它们与急性胰腺炎发展和复发的病理生理学相关性。作者提出的第四类胆道粉尘，除了污泥、微石症和胆结石外，很有趣，但在我们看来，由于几个原因，没有意义。不仅如此，PICUS-1研究表明，诊断内窥镜超声（EUS）是一线…

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

Response to ‘Biliary sludge and microlithiasis: are we covering the full spectrum of lithogenic biliary disorders?’

We thank Mendonça Proença et al 1 for their thoughtful and constructive comments on our recently proposed consensus definition of biliary sludge and microlithiasis.2 We fully agree that only a globally standardised definition of sludge and microlithiasis will allow for high-quality prospective studies, thereby clarifying their pathophysiological relevance for both the development and recurrence of acute pancreatitis. The fourth category of biliary dust proposed by the authors, in addition to sludge, microlithiasis and gallstones, is intriguing but, in our view, not meaningful for several reasons. Not least, the PICUS-1 study demonstrated that diagnostic endoscopic ultrasound (EUS) is the first-line …

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

来源期刊

Gut 医学-胃肠肝病学

CiteScore

45.70

自引率

2.40%

发文量

284

审稿时长

1.5 months

期刊介绍： Gut is a renowned international journal specializing in gastroenterology and hepatology, known for its high-quality clinical research covering the alimentary tract, liver, biliary tree, and pancreas. It offers authoritative and current coverage across all aspects of gastroenterology and hepatology, featuring articles on emerging disease mechanisms and innovative diagnostic and therapeutic approaches authored by leading experts. As the flagship journal of BMJ's gastroenterology portfolio, Gut is accompanied by two companion journals: Frontline Gastroenterology, focusing on education and practice-oriented papers, and BMJ Open Gastroenterology for open access original research.