Department of Surgery, Tripler Army Medical Center, 1 Jarrett White Road, Honolulu, HI 96859, USA.
Department of Surgery, Tripler Army Medical Center, 1 Jarrett White Road, Honolulu, HI 96859, USA.
Surg Clin North Am. 2014 Apr;94(2):233-56. doi: 10.1016/j.suc.2013.12.001. Epub 2014 Feb 18.
Symptomatic cholelithiasis and functional disorders of the biliary tract present with similar signs and symptoms. The functional disorders of the biliary tract include functional gallbladder disorder, dyskinesia, and the sphincter of Oddi disorders. Although the diagnosis and treatment of symptomatic cholelithiasis are relatively straightforward, the diagnosis and treatment of functional disorders can be much more challenging. Many aspects of the diagnosis and treatment of functional disorders are in need of further study. This article discusses uncomplicated gallstone disease and the functional disorders of the biliary tract to emphasize and update the essential components of diagnosis and management.
有症状的胆石病和胆道功能障碍表现出相似的体征和症状。胆道功能障碍包括功能性胆囊疾病、运动障碍和 Oddi 括约肌功能障碍。尽管有症状的胆石病的诊断和治疗相对简单,但功能性疾病的诊断和治疗可能更加具有挑战性。功能性疾病的诊断和治疗的许多方面都需要进一步研究。本文讨论了单纯性胆囊疾病和胆道功能障碍,强调和更新了诊断和治疗的基本内容。