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首页> 外文期刊>Seminars in Gastrointestinal Disease >Biliary emergencies: pancreatitis, cholangitis, and more.
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Biliary emergencies: pancreatitis, cholangitis, and more.

机译：胆道紧急情况：胰腺炎，胆管炎等。

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The most common cause of acute pancreatitis is gallstones, although many other etiological factors have been identified. The management of the initial episode depends on the severity of the attack and the etiology. In most patients, acute pancreatitis has a benign, self-limited course. However, in the minority who develop infected pancreatic necrosis the mortality can reach 25%. The early assessment of severity and aggressive management of these patients is critical. The roles of endoscopic retrograde cholangiopancreatography, surgical intervention, enteral feeding and use of antibiotics in acute pancreatitis are discussed in this article. Finally, the origin of recurrent acute pancreatitis is discussed, with particular reference to conditions such as pancreas divisum and sphincter of Oddi dysfunction whose role in the development of acute pancreatitis is controversial, and to hereditary or familial pancreatitis.
机译：急性胰腺炎的最常见原因是胆结石，尽管已发现许多其他病因。初始发作的处理取决于发作的严重程度和病因。在大多数患者中，急性胰腺炎具有良性，自限性病程。但是，在发生感染的胰腺坏死的少数人群中，死亡率可以达到25％。对这些患者的严重程度和积极治疗的早期评估至关重要。本文讨论了内镜逆行胰胆管造影，外科手术，肠内喂养和抗生素在急性胰腺炎中的作用。最后，讨论了复发性急性胰腺炎的起源，特别涉及诸如胰腺分裂和Oddi括约肌括约肌等病症，这些病症在急性胰腺炎发展中的作用尚有争议，并涉及遗传性或家族性胰腺炎。

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