VSE knjižnice (vzajemna bibliografsko-kataložna baza podatkov COBIB.SI)
  • Endoskopsko zdravljenje kroničnega pankreatitisa = Endoscopic therapy of chronic pancreatitis
    Mlinarič, Vladimir, 1948-
    The incidence of chronic pancreatitis (CP) in the western world is between 5 and 10 per 100.000 inhabitants. The most common cause of the disease is chronic alcohol abuse. The diagnosis of CP is ... confirmed by ultrasound or CT and/or MRCP. Endoscopic retrograde cholangio-pancreatography (ERCP) has becomethe gold standard in the diagnosis of ductal irregularities in moderate and severe forms of CP. Endoscopic ultrasound appears to be a more sensitive imaging investigation for the detection of early lesions of CP. Endoscopic pancreatic sphincterotomy (EPS) is the definite treatment for some diseases, such as dysfunction of the sphincter of Oddi, papillary stenosis and pancreas divisum. In most patients, it is used as the initial procedure and is followedby other techniques. Stones of the pancreatic duct can be removed by means of a special Dormia basket used in combination with mechanical lithotripsy, by a balloon catheter, extracorporeal shock wave lithotripsy (ERCP) or electrohydraulic or laser-induced intracorporeal shock wave lithotripsy (ISWL). The past decade has witnessed the introduction of a numberof endoscopic drainage procedures. Endoscopic balloon dilation or bougienage may be helpful in the management of single stricture. In most patients selected for endoscopic drainage, insertion of a pancreatic plastic stent is mandatory. Indications for endoscopic therapy of a stenosed common bile duct due to CP include obstructions jaundice and cholangitis. Placing a plastic provides a temporary solution preceding surgical therapy. The use of self-expandable metal mesh stents is an alternative to surgical treatment in selected patients with CP and biliary stenosis. Treatment of pancreatic pseudocysts is recommended if the lesions are more than 5-6 cm in diameter andthey carry an increased risk of rupture or infection, or if they lead to local complications. (Abstract truncated at 2000 characters).
    Vir: Endoskopska revija : glasilo Sekcije za endoskopsko kirurgijo in Sekcije za gastroenterološko endoskopijo Slovenije = Endoscopic review : journal of Slovenian Society of Endoscopic Surgery and Society of Gastroenterologic Endoscopy. - ISSN 1318-8941 (Letn. 5, št. 12/13, september/november 2000, str. 61-67)
    Vrsta gradiva - članek, sestavni del
    Leto - 2000
    Jezik - slovenski
    COBISS.SI-ID - 12599769

Vnos na polico