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胆石症患者的胰管造影改变

Pancreatogram changes in patients with calculous biliary disease.

作者信息

Axon A T, Ashton M G, Lintott D J

出版信息

Br J Surg. 1979 Jul;66(7):466-70. doi: 10.1002/bjs.1800660705.

DOI:10.1002/bjs.1800660705
PMID:466038
Abstract

A successful pancreatogram was obtained at endoscopic retrograde cholangiopancreatography (ERCP) in 53 patients with calculous biliary disease. Twenty-eight patients presented with jaundice and 25 with pain. In both groups there was a high incidence of pancreatogram abnormalities (47 and 48 per cent respectively). These findings demonstrate that the pancreas is often abnormal in the presence of complicated calculous biliary disease even though there may be no recent clinical evidence of pancreatitis and suggest that asymptomatic chronic pancreatitis may be common. The clinical significance of the abnormalities is discussed.

摘要

对53例胆石症患者进行内镜逆行胰胆管造影(ERCP)时成功获得了胰管造影图像。28例患者出现黄疸,25例患者出现疼痛。两组中胰管造影异常的发生率均较高(分别为47%和48%)。这些发现表明,即使近期可能没有胰腺炎的临床证据,但在复杂的胆石症存在时胰腺常常是异常的,这提示无症状慢性胰腺炎可能很常见。文中讨论了这些异常的临床意义。

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