Avni Y, Rattan J, Bar-Meir S
Departments of Gastroenterology, Wolfson, Hospital Tel Aviv University, Israel.
Endoscopy. 1988 Nov;20(6):292-3. doi: 10.1055/s-2007-1018199.
The clinical significance of unexplained dilation of the common bile duct (CBD) seen at endoscopic retrograde cholangiopancreatography (ERCP) in non-jaundiced patients with abdominal pain, was studied in a group of 14 patients. A CBD diameter of more than 15 mm was associated with choledocholithiasis (29%), periampullary carcinoma (14%), papillary stenosis (14%), or no definite pathology (43%) during a follow-up of 20 months. Dilation of the CBD exceeding 20 mm, was associated with periampullary carcinoma or papillary stenosis in 80% of the patients. It is recommended that such a group of patients be followed very closely, and the ERCP examination repeated within a few months.
对14例腹痛但无黄疸的患者进行了研究，以探讨在内镜逆行胰胆管造影术（ERCP）中发现的不明原因胆总管（CBD）扩张的临床意义。在20个月的随访中，胆总管直径超过15mm与胆总管结石（29%）、壶腹周围癌（14%）、乳头狭窄（14%）或无明确病理（43%）相关。胆总管扩张超过20mm的患者中，80%与壶腹周围癌或乳头狭窄相关。建议对这类患者进行密切随访，并在几个月内重复进行ERCP检查。
