急性胆道疾病。

Acute Biliary Disease.

机构信息

Department of Surgery, University of North Carolina-Chapel Hill, 4035 Burnett-Womack, Campus Box 7081, Chapel Hill, NC 27599-7081, USA.

出版信息

Surg Clin North Am. 2018 Oct;98(5):877-894. doi: 10.1016/j.suc.2018.05.003. Epub 2018 Jul 29.

DOI:10.1016/j.suc.2018.05.003

PMID:30243451

Abstract

Acute biliary disease is a ubiquitous acute surgical complaint. General surgeons managing emergency surgical patients must be knowledgeable and capable of identifying and caring for common presentations. This article discusses the work-up, diagnosis, and management of the varying pathologies that make up biliary disease including cholelithiasis, cholecystitis, biliary dyskinesia, choledocholithiasis, cholangitis, gallstone pancreatitis, and gallstone ileus. Also addressed are more challenging and rare presentations including pregnancy and bariatric anatomy.

摘要

急性胆道疾病是一种普遍存在的急性外科疾病。管理急诊外科患者的普通外科医生必须具备相关知识和能力，以识别和治疗常见的临床表现。本文讨论了构成胆道疾病的各种病理情况的检查、诊断和处理，包括胆石症、胆囊炎、胆道运动障碍、胆总管结石、胆管炎、胆石性胰腺炎和胆石性肠梗阻。文中还介绍了更具挑战性和罕见的临床表现，包括妊娠和肥胖患者的胆道解剖。