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Acute pancreatitis in pregnancy

查看全文 作  者:Capecomorin S [1,2]Pitchumoni;Balaji [3,4]Yegneswaran 高影响力作者 机构地区:[1]Drexel University College of Medicine and Robert Wood Johnson Medical School, New Brunswick,NJ 08901, United States;[2]Department of Gastroenterology, Saint Peter's University Hospital, New Brunswick,NJ 08901, United States;[3]Drexel University College of Medicine;[4]Saint Peter's University Hospital, New Brunswick,NJ 08901, United States高影响力机构 出  处:《World Journal of Gastroenterology》索引2009年第15卷第45期,共6页高影响力期刊 摘  要:Acute pancreatitis (AP) is a rare event in pregnancy, occurring in approximately 3 in 10 000 pregnancies. The spectrum of AP in pregnancy ranges from mild pancreatitis to serious pancreatitis associated with necrosis, abscesses, pseudocysts and multiple organ dysfunction syndromes. Pregnancy related hematological and biochemical alterations infl uence the interpretation of diagnostic tests and assessment of severity of AP. As in any other disease associated with pregnancy, AP is associated with greater concerns as it deals with two lives rather than just one as in the non-pregnant population. The recent advances in clinical gastroenterology have improved the early diagnosis and effective management of biliary pancreatitis. Diagnostic studies such as endoscopic ultrasound, magnetic resonance cholangiopancreatography and endoscopic retrograde cholangiopancreatography and therapeutic modalities that include endoscopic sphincterotomy, biliary stenting, common bile duct stone extraction and laparoscopic cholecystectomy are major milestones in gastroenterology. When properly managed AP in pregnancy does not carry a dismal prognosis as in the past. 关 键 词:急性胰腺炎 妊娠 胆总管结石 功能障碍 严重程度 诊断测试 血液生化 早期诊断
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