有没有坏死性胰腺炎引流的适应症？【1】 1. 当患者是有症状的（When they are symptomatic） 2. 当患者是重复（双重）感染（When superinfections develop） 3. 当感染持续存在（When they persist） 4. 包裹性胰腺坏死/假性胰腺囊肿长期引流（数月），存在与胰管交通的风险（WOPN/pseudocyst - long time drainage (months) – risk - communication with pancreatic ducts）
Recommendations by current clinical practice guidelines for use of pancreatic abscess, infected pseudocyst, and infected necrosis.【2】
1. Varadarajulu S, Bang JY, Sutton BS, Trevino JM, Christein JD, Wilcox CM. Equal Efficacy of Endoscopic and Surgical Cystogastrostomy for Pancreatic Pseudocyst Drainage in a Randomized Trial. Gastroenterology. 2013 Sep;145(3):583-90.e1. doi: 10.1053/j.gastro.2013.05.046. Epub 2013 May 31
2. Samir Habashi, Peter V Draganov. Pancreatic pseudocyst. World J Gastroenterol. Jan 7, 2009; 15(1): 38-47 Published online Jan 7, 2009. doi: 10.3748/wjg.15.38 |
