Zhang C, Yang Y L
Cholelithiasis Center, Tongji University Affiliated Shanghai East Hospital, Shanghai 200120, China.
Zhonghua Yi Xue Za Zhi. 2022 May 17;102(18):1326-1329. doi: 10.3760/cma.j.cn112137-20220112-00081.
The confluence of pancreaticobiliary ducts refers to the area between the end of common bile duct, the opening of main pancreatic duct and duodenal papilla. Those confluence diseases of pancreaticobiliary ducts will cause obstruction of biliary and pancreatic outflow tract, cholestasis, pancreatic juice deposition or pancreaticobiliary reflux, and thus induce gallstones, cholangitis, pancreatitis and other diseases. Endoscopic ampullary sphincterotomy is an important way to treat biliary and pancreatic diseases, but the length of incision is determined by the anatomy of Oddi sphincter. The endoscopic approach aims to relieve biliary and pancreatic outflow tract obstruction and pancreatic biliary reflux, and avoid enterobiliary reflux.
胰胆管汇合处是指胆总管末端、主胰管开口与十二指肠乳头之间的区域。这些胰胆管汇合处疾病会导致胆汁和胰液流出道梗阻、胆汁淤积、胰液沉积或胰胆管反流，从而诱发胆结石、胆管炎、胰腺炎等疾病。内镜下壶腹括约肌切开术是治疗胆胰疾病的重要方法，但切口长度取决于Oddi括约肌的解剖结构。内镜治疗的目的是缓解胆汁和胰液流出道梗阻以及胰胆管反流，避免肠胆反流。
