Kirk A P, Summerfield J A
Digestion. 1980;20(1):31-5. doi: 10.1159/000198411.
In a retrospective study of 755 atients undergoing endoscopic retrograde cholangiopancreatography from 1973 to 1977 at the Royal Free Hospital, 38 (5%) had a juxtapapillary diverticulum. This resulted in a significantly higher failure rate of cannulation of the ampulla of Vater (40 vs. 20% in the remainder of the group; p less than 0.02). The presence of a juxtapapillary diverticulum was also significantly associated with an increase of cholelithiasis (48 vs. 24%; p less than 0.01), and with jaundice or cholangitis developing after cholecystectomy (27 vs. 8%; p less than 0.001). There was no evidence that the diverticula were the cause of biliary or pancreatic obstruction.
在一项对1973年至1977年间于皇家自由医院接受内镜逆行胰胆管造影术的755例患者的回顾性研究中,38例(5%)有十二指肠乳头旁憩室。这导致十二指肠乳头插管失败率显著更高(该组其余患者为20%,此组为40%;p<0.02)。十二指肠乳头旁憩室的存在还与胆结石发病率增加显著相关(48%对24%;p<0.01),并且与胆囊切除术后发生黄疸或胆管炎相关(27%对8%;p<0.001)。没有证据表明憩室是胆道或胰腺梗阻病因。