Bellomi M, Cozzi G, Balzarini L, Castoldi M C, Ostinelli C, Severini A
Radiol Med. 1984 May;70(5):310-2.
Patients with longstanding percutaneous transhepatic biliary drainage often complain of epigastralgia. This symptom has occurred in 33% of the patients in our series. In all the patients complaining of these symptoms who underwent radiological or endoscopic examinations of Upper GI, there was evidence of gastric or duodenal ulcerative lesions which subsequently were cured by medical treatment. Administering anti-acids to those 13 patients who complained of epigastralgia, reduced the symptoms uniformly. The symptom has not been reported elsewhere in literature and is often not given enough importance by the medical practitioner who attributes the symptoms to the presence of the catheter and/or underlying disease. This symptom is more often a sign of a gastric of duodenal peptic lesion that needs to be actively investigated.
长期接受经皮肝穿胆道引流的患者常诉说上腹部疼痛。在我们的系列研究中，33%的患者出现了这种症状。在所有诉说这些症状并接受上消化道放射学或内镜检查的患者中，均有胃或十二指肠溃疡性病变的证据，随后通过药物治疗得以治愈。对13例诉说上腹部疼痛的患者给予抗酸剂后，症状均得到缓解。该症状在其他文献中未见报道，而且医生常常对此不够重视，将这些症状归因于导管的存在和/或基础疾病。这种症状更常见的是胃或十二指肠消化性病变的征象，需要积极进行检查。
