Bansi D S, Price A, Russell C, Sarner M
Department of Gastroenterology, The Middlesex Hospital, Mortimer Street, London W1N 8AA, UK.
Gut. 2000 Feb;46(2):283-5. doi: 10.1136/gut.46.2.283.
A woman, then in her late 20s, underwent a cholecystectomy in 1962 for gallstone disease and subsequent common bile duct stones were managed endoscopically. However, because of unrelenting pain, a pylorus preserving pancreaticoduodenectomy was done in 1990 and in the following years the patient took large amounts of pancreatic enzyme supplements. She developed large bowel obstruction in 1997 and a right hemicolectomy was undertaken. Histology confirmed fibrosing colonopathy of the ascending colon and caecum. Her pancreatic enzyme dose was reduced and her subsequent course has been uncomplicated.
一名接近30岁的女性在1962年因胆结石疾病接受了胆囊切除术,随后内镜治疗胆总管结石。然而,由于持续疼痛,1990年进行了保留幽门的胰十二指肠切除术,在接下来的几年里,患者服用了大量的胰酶补充剂。1997年她出现大肠梗阻并接受了右半结肠切除术。组织学证实升结肠和盲肠有纤维性结肠病。她的胰酶剂量减少,随后的病程无并发症。