Guasoni S, Landriel Márquez J, Brasca A
Acta Gastroenterol Latinoam. 1983;13(4):711-5.
One of the remote complications of choledochoduodenostomy is the formation of a biliary sack in the retroduodenal portion of the choledocho between anastomosis and the obstructed papilla. These results in the accumulation of gallstones and debris in the sack giving rise to pain, colics, infection, cholangitis and pancreatitis. Three cases are presented here: their main symptoms were pain and fever, without jaundice. The accurate diagnosis is carried out with E.R.C.P. which combines endoscopic visualization of anastomosis and papilla with probing and contrast injection in both of them. The definitive treatment was performed in two patients. One was treated surgically; the other using endoscopic papillotomy. The latter is recommended as the treatment of choice in the sump syndrome.
胆总管十二指肠吻合术的远期并发症之一是在胆总管十二指肠吻合口与梗阻乳头之间的十二指肠后段胆总管内形成一个胆汁袋。这会导致胆结石和碎屑在袋内积聚，从而引起疼痛、绞痛、感染、胆管炎和胰腺炎。本文介绍了三例病例：其主要症状为疼痛和发热，无黄疸。通过内镜逆行胰胆管造影（ERCP）进行准确诊断，该检查将吻合口和乳头的内镜可视化与对两者进行探查和造影剂注射相结合。两名患者接受了确定性治疗。一名患者接受了手术治疗；另一名患者接受了内镜乳头切开术。内镜乳头切开术被推荐为胆汁池综合征的首选治疗方法。
