胰腺刺激超声检查在胰腺分裂相关急性胰腺炎评估中的应用价值

[Usefulness of echography with pancreatic stimulation in the evaluation of acute pancreatitis associated with pancreas divisum].

作者信息

García Coma M, Targarona Soler E M, Marco Molina C

出版信息

Rev Esp Enferm Apar Dig. 1989 Jan;75(1):87-90.

Abstract

Pancreas divisum is an anatomic variation of the fusion of the pancreatic ducts that appears in 6-10% of the normal population. In recent years, with the development of endoscopic cholangiopancreatography, pancreas divisum has been related to recurrent acute pancreatitis, although its continuous interrelation remains debated. We present a case of acute pancreatitis with pancreas divisum. Echography after pancreatic stimulation with secretin (EEPS) was useful to evaluate the degree of stenosis of the accessory papilla, showing dilatation maintained for 30 minutes of the dorsal duct after stimulation. Postoperative echography with secretin pancreatic stimulation after surgical sphincteroplasty showed no modification in the caliber of the accessory duct, which allowed us to discern the solution to the obstructive problem. We discuss the clinical utility and prognostic value of echography with secretin pancreatic stimulation in the treatment of pancreas divisum.

摘要

胰腺分裂是一种胰管融合的解剖变异，在6%至10%的正常人群中出现。近年来，随着内镜逆行胰胆管造影术的发展，胰腺分裂已与复发性急性胰腺炎相关，尽管其持续的相互关系仍存在争议。我们报告一例伴有胰腺分裂的急性胰腺炎病例。用促胰液素刺激胰腺后的超声检查（EEPS）有助于评估副乳头的狭窄程度，显示刺激后背侧胰管扩张持续30分钟。手术括约肌成形术后用促胰液素刺激胰腺的术后超声检查显示副胰管管径无变化，这使我们能够辨别梗阻问题的解决方案。我们讨论了用促胰液素刺激胰腺的超声检查在胰腺分裂治疗中的临床效用和预后价值。