另外,CT和MRCP有时难以鉴别胰腺实质坏死和胰管断裂,影响了其诊断效果。 3.ERCP:ERCP可以直观地显示出胰管的解剖情况,被认为是DPDS诊断金标准。 早期行ERCP可见造影剂外渗,晚期的时候可见主胰管的完全截断而无造影剂的外渗。
Endoscopic retrograde cholangiopancreatography (ERCP) is the standard imaging modality for the detection of choledochal cysts and pancreaticobiliary duct anomalies; however, complications related to ...
本研究针对胆囊切除术中胆管解剖识别和胆总管结石诊断的临床挑战,提出联合应用机器人辅助技术、吲哚菁绿荧光胆管造影(ICG)和术中胆管造影(IOC)的创新方案。通过10例病例分析,证实该技术可替代术前磁共振胰胆管造影(MRCP),显著降低医疗成本 ...
本研究通过放射组学纹理分析和LASSO算法,结合临床因素构建预测模型,评估MRCP影像特征对ERCP后胰腺炎(PEP)的预测价值。结果显示,复杂模型(放射组学+临床因素)的AUC为0.863,显著优于单独放射组学模型(0.813)和临床风险模型(0.736),DeLong检验和决策 ...
The presence of ductal abnormalities after an unexplained acute attack of acute pancreatitis or in patients with recurrent acute pancreatitis might lead to a misdiagnosis of chronic pancreatitis or ...
胆囊结石是我国常见的胆系疾病,且常合并胆管结石,传统的治疗方法是剖腹行胆囊切除+胆管取石+T管引流术。随着消化内镜技术的不断发展,以经内镜逆性胰胆管造影(ERCP)为基础的综合内镜治疗已成为胆总管下段、胰腺、十二指肠疾病诊断和治疗的主要 ...
在人体消化系统中,胆道与胰腺如同两条重要的“生命管道”,承担着输送胆汁、胰液以帮助消化的关键职责。然而,结石、炎症、肿瘤等问题常导致这些管道堵塞或病变,引发腹痛、黄疸等不适,严重时甚至危及生命。过去,治疗这类疾病往往需要开腹手术 ...
If a choledochocholedochostomy (duct-to-duct anastomosis) was done at the time of transplantation, the patient should have an ERCP. However, if the anastomosis was a choledochojejunostomy (roux-en-Y) ...
Malignancies of the bile duct are often suspected in patients with abnormal serum hepatic enzyme levels and obstruction of the biliary system. Although cross-sectional imaging can provide evidence for ...
ERCP is the acronym for endoscopic retrograde cholangiopancreatography. It is a medical technique that employs a combination of fluoroscopy and endoscopy to diagnose and treat disorders affecting the ...
Endoscopic retrograde cholangiopancreatography (ERCP) is a medical technique that is used primarily to investigate and treat pathologies involving the biliary tree and pancreatic ducts. Image Credit: ...
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