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肝脓肿作为贮液池综合征的并发症:手术与内镜联合治疗。病例报告及文献综述

Hepatic abscesses as a complication of the sump syndrome: combined surgical and endoscopic therapy. Case report and review of the literature.

作者信息

Rumans M C, Katon R M, Lowe D K

出版信息

Gastroenterology. 1987 Mar;92(3):791-5. doi: 10.1016/0016-5085(87)90034-5.

DOI:10.1016/0016-5085(87)90034-5
PMID:3817399
Abstract

The "sump syndrome" is an unusual complication of side-to-side choledochoduodenostomy in which the portion of the common bile duct distal to the anastamosis acts as a sump and may collect bile, stones, food, and other debris. Partial or complete obstruction of the stoma and resultant bacterial proliferation may result and lead to recurrent cholangitis or pancreatitis. A single hepatic abscess as a complication of the sump syndrome has been reported only once. We have recently seen a patient presenting with multiple hepatic abscesses as a complication of the sump syndrome. This is the first report of endoscopic treatment of this syndrome associated with a hepatic abscess. The literature on the endoscopic approach to this problem will be reviewed.

摘要

“贮液池综合征”是一种胆总管十二指肠侧侧吻合术的罕见并发症,其中吻合口远端的胆总管部分充当贮液池,可能会积聚胆汁、结石、食物及其他碎屑。吻合口部分或完全梗阻以及由此导致的细菌增殖可能会发生,并引发复发性胆管炎或胰腺炎。作为贮液池综合征并发症的单个肝脓肿仅有一次报道。我们最近遇到一名患者,其作为贮液池综合征的并发症出现了多个肝脓肿。这是关于该综合征合并肝脓肿的内镜治疗的首例报告。将对有关该问题的内镜治疗方法的文献进行综述。

相似文献

1
Hepatic abscesses as a complication of the sump syndrome: combined surgical and endoscopic therapy. Case report and review of the literature.肝脓肿作为贮液池综合征的并发症:手术与内镜联合治疗。病例报告及文献综述
Gastroenterology. 1987 Mar;92(3):791-5. doi: 10.1016/0016-5085(87)90034-5.
2
Endoscopic sphincterotomy and surgical approaches in the treatment of the 'sump syndrome'.内镜下括约肌切开术及手术方法治疗“残端综合征”
Gut. 1987 Feb;28(2):142-5. doi: 10.1136/gut.28.2.142.
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Biliary Bezoar: the sump syndrome and choledochoenterostomy.胆管粪石:残端综合征与胆管空肠吻合术
Endoscopy. 1982 Nov;14(6):238-40. doi: 10.1055/s-2007-1021630.
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Sump syndrome following choledochoduodenostomy and its endoscopic treatment.胆总管十二指肠吻合术后的残端综合征及其内镜治疗
Br J Surg. 1985 Jun;72(6):433-5. doi: 10.1002/bjs.1800720606.
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Endoscopic therapy of the "sump" syndrome.“残端”综合征的内镜治疗
Dig Dis Sci. 1980 Aug;25(8):597-601. doi: 10.1007/BF01318873.
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Is It Really SUMP Syndrome? A Case Report.真的是SUMP综合征吗?一例病例报告。
Cureus. 2019 Oct 4;11(10):e5837. doi: 10.7759/cureus.5837.
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Hepatic abscess as a complication of the sump syndrome.肝脓肿作为贮液池综合征的一种并发症。
J Hepatobiliary Pancreat Surg. 2000;7(2):231-5. doi: 10.1007/s005340050182.
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Sump Syndrome: A Rare Long-Term Complication of Choledochoduodenostomy.贮液池综合征:胆总管十二指肠吻合术一种罕见的远期并发症。
Case Rep Gastroenterol. 2017 Aug 4;11(2):428-433. doi: 10.1159/000477335. eCollection 2017 May-Aug.
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Post-choledochoenterostomy 'sump syndrome'.胆总管空肠吻合术后“贮液池综合征”
Aust N Z J Surg. 1990 Feb;60(2):109-12.
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Common bile duct stones and biliary-intestinal anastomoses.胆总管结石与胆肠吻合术
Surg Gynecol Obstet. 1981 Nov;153(5):669-76.

引用本文的文献

1
Sump Syndrome: A Rare Complication of Choledochojejunostomy.贮液池综合征:胆总管空肠吻合术的一种罕见并发症。
Cureus. 2025 Aug 6;17(8):e89481. doi: 10.7759/cureus.89481. eCollection 2025 Aug.
2
Hepatic Abscess: A Rare Presentation of Sump Syndrome After Choledochojejunostomy.肝脓肿:胆总管空肠吻合术后罕见的残端综合征表现。
ACG Case Rep J. 2020 Aug 24;7(8):e00447. doi: 10.14309/crj.0000000000000447. eCollection 2020 Aug.
3
Outcomes following laparoscopic choledochoduodenostomy in the management of benign biliary obstruction.
腹腔镜胆肠吻合术治疗良性胆道梗阻的结果。
J Gastrointest Surg. 2012 Apr;16(4):801-5. doi: 10.1007/s11605-011-1768-3. Epub 2012 Jan 31.
4
Treatment of chronic pancreatitis complicated by obstruction of the common bile duct or duodenum.慢性胰腺炎合并胆总管或十二指肠梗阻的治疗。
World J Surg. 1990 Jan-Feb;14(1):59-69. doi: 10.1007/BF01670547.