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儿童胆胰共同通道。12例儿童的临床、生物学和放射学表现

Bilio-pancreatic common channel in children. Clinical, biological and radiological findings in 12 children.

作者信息

Suarez L, Bernard O, Gauthier F, Valayer J, Brunelle F

出版信息

Pediatr Radiol. 1987;17(3):206-11. doi: 10.1007/BF02388161.

DOI:10.1007/BF02388161
PMID:3588068
Abstract

Twelve patients (11 girls and 1 boy) with dilated bile ducts and anomalous junction between the common bile duct and pancreatic duct are reported. All patients underwent preoperative opacification of the bile ducts either by transhepatic cholangiography or percutaneous cholecystography. Abdominal pain and jaundice were the main clinical symptoms. Reflux of pancreatic enzymes in the bile duct was proven by measuring amylase and lipase activity in the biliary system after IV injection of 1 IU/kg of cholecystokinin. All patients were operated upon. Bile ducts size returned to normal in all patients who are clinical well with a follow-up from 1 to 6 years.

摘要

报告了12例胆总管扩张且胆总管与胰管连接异常的患者(11名女孩和1名男孩)。所有患者均通过经肝胆管造影术或经皮胆囊造影术进行术前胆管造影。腹痛和黄疸是主要临床症状。静脉注射1 IU/kg胆囊收缩素后,通过测量胆道系统中的淀粉酶和脂肪酶活性,证实了胰酶在胆管中的反流。所有患者均接受了手术。在随访1至6年临床状况良好的所有患者中,胆管大小恢复正常。

相似文献

1
Bilio-pancreatic common channel in children. Clinical, biological and radiological findings in 12 children.儿童胆胰共同通道。12例儿童的临床、生物学和放射学表现
Pediatr Radiol. 1987;17(3):206-11. doi: 10.1007/BF02388161.
2
[Common channel for bile and pancreatic ducts. Presentation of 12 cases and discussion].[胆管和胰管的共同通道。12例报告及讨论]
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3
Cholecystohepaticodochal fistula.胆囊肝管瘘
Br J Surg. 1986 Jan;73(1):82. doi: 10.1002/bjs.1800730140.
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Pancreatic pseudocyst with fistula to the common bile duct: radiological diagnosis and management.
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Choledochal-wirsungian fistula.胆总管-胰管瘘
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Transhepatic cholangiography and cholangiography by transhepatic puncture of the gall-bladder as an alternative for non-dilated bile ducts.
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[Congenital dilatation of the common bile duct. Apropos of l6 cases].[先天性胆总管扩张症。附16例报告]
Chir Pediatr. 1987;28(3):145-50.
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Development of bile duct bezoars following cholecystectomy caused by choledochoduodenal fistula formation: a case report.胆总管十二指肠瘘形成导致胆囊切除术后胆管粪石的发生:一例报告
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引用本文的文献

1
Sonographic diagnosis of a common pancreaticobiliary channel in children.
Pediatr Radiol. 2006 Dec;36(12):1300-5. doi: 10.1007/s00247-006-0322-z. Epub 2006 Oct 7.
2
The clinical spectrum of anomalous pancreatobiliary junction.胰腺胆管连接异常的临床谱
Surg Endosc. 1989;3(2):83-6. doi: 10.1007/BF00590906.

本文引用的文献

1
Congenital choledochal cyst, with a report of 2, and an analysis of 94, cases.先天性胆总管囊肿:附2例报告及94例分析
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2
Action of pancreatic juice on the bile duct: pathogenesis of congenital choledochal cyst.胰液对胆管的作用:先天性胆总管囊肿的发病机制
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Percutaneous transhepatic cholangiography in biliary ducts dilatation in children.儿童胆管扩张症的经皮肝穿刺胆管造影术
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4
Surgical aspect ot cystic dilatation of the bile duct. An anomalous junction of the pancreaticobiliary tract in adults.胆管囊性扩张的外科情况。成人胰胆管的异常连接。
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Congenital choledochal cyst. Analysis of 1,433 patients in the Japanese literature.先天性胆管囊肿。日本文献中1433例患者的分析。
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Percutaneous cholecystography in children.儿童经皮胆囊造影术。
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7
Role of unusually long common pancreatico-biliary channel as a cause of relapsing pancreatitis in children.异常长的胰胆管共同通道在儿童复发性胰腺炎病因中的作用。
Z Kinderchir. 1982 Jun;36(2):69-72. doi: 10.1055/s-2008-1059865.
8
[Congenital choledochal cysts: new etiological concept based on anomalous relationships of the common bile duct and pancreatic bulb].[先天性胆管囊肿:基于胆总管与胰头异常关系的新病因学概念]
Ann Radiol (Paris). 1969;12(3):231-40.
9
Forme fruste choledochal cyst.胆管囊肿不完全型
J Pediatr Surg. 1985 Aug;20(4):449-51. doi: 10.1016/s0022-3468(85)80239-6.
10
Surgical management of choledochal cysts: a review of 60 cases.胆总管囊肿的外科治疗:60例病例回顾
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