Kugelberg C, Wehlin L, Arnesjö B, Tylén U
Gut. 1976 Apr;17(4):267-72. doi: 10.1136/gut.17.4.267.
It has been difficult, employing clinical methods, to establish whether pancreatico-enteric drainage shunts for chronic pancreatitis have remained patent and how the operation has affected the inflammatory changes and ductal pathological morphology. In an attempt objectively to evaluate postoperative results, 13 patients with two different types of pancreatico-jejunostomies were examined with endoscopic pancreatography. Progress of the inflammatory changes was noted to a varying degree in the majority of cases. In four patients subjected to longitudinal split of the pancreatic duct, shunt patency was evidenced. In the remaining nine patients with caudal pancreatico-jejunostomy, no contrast medium could be made to pass the shunts in six cases, whereas passage was clearly demonstrated in one and uncertain in two. All the patients reported clinical improvement after operation.
一直以来，采用临床方法很难确定慢性胰腺炎的胰肠引流分流术是否保持通畅，以及该手术如何影响炎症变化和导管病理形态。为了客观评估术后结果，对13例接受两种不同类型胰空肠吻合术的患者进行了内镜胰管造影检查。在大多数病例中，炎症变化的进展程度各不相同。在4例接受胰管纵向劈开的患者中，证实了分流的通畅。在其余9例接受胰尾空肠吻合术的患者中，6例造影剂无法通过分流，1例造影剂通过情况清晰显示，2例不确定。所有患者术后均报告临床症状改善。
