Tanaka M, Ikeda S, Yoshimoto H
Surgery. 1983 Feb;93(2):264-7.
Biliary "sump" syndrome is a rare but embarrassing problem after side-to-side choledochojejunostomy or choledochoduodenostomy. Four patients with they syndrome treated nonoperatively by endoscopic sphincterotomy are described. Three of these had had choledochojejunostomy previously and the other inadvertent choledochoduodenostomy at prior common duct exploration. Cholangitic symptoms or biliary obstruction disappeared and the patients have been well for periods ranging from 2 to 5.5 years. Endoscopic sphincterotomy can eliminate the stasis area of the common duct distal to the lateral anastomosis, obviating relaparotomy, and may deserve first consideration in patients with the sump syndrome.
胆管“贮留池”综合征是一种罕见但令人困扰的问题，发生于胆总管空肠侧侧吻合术或胆总管十二指肠吻合术后。本文描述了4例通过内镜括约肌切开术进行非手术治疗的该综合征患者。其中3例曾接受过胆总管空肠吻合术，另1例在先前的胆总管探查术中意外进行了胆总管十二指肠吻合术。胆管炎症状或胆管梗阻消失，患者病情良好，时间为2至5.5年。内镜括约肌切开术可消除侧侧吻合口远端胆总管的淤滞区域，避免再次剖腹手术，对于患有贮留池综合征的患者可能值得首先考虑。
