Mouiel J
Nouv Presse Med. 1982 May 22;11(24):1855-8.
In the authors' experience gallstones, particularly when minute, constitute the most frequent cause of acute pancreatitis. The size of the calculi (about one millimeter) explains the two major characteristics of microlithiasis: it is "illegible" and therefore difficult to detect and frequently undiagnosed; it is "migratory", like urinary lithiasis, and may be responsible for transient hyperpressure in the pancreatic ducts resulting in acute pancreatitis. In all cases of acute pancreatitis, the possibility of biliary microlithiasis should be thoroughly investigated and relapses should be prevented by cholecystectomy with clearing of the biliary ducts under radiosurgical and/or endoscopic control.
根据作者的经验，胆结石，尤其是微小的胆结石，是急性胰腺炎最常见的病因。结石大小（约一毫米）解释了微结石症的两个主要特征：它“难以辨认”，因此难以检测且常常未被诊断；它像尿路结石一样“会移动”，可能导致胰管短暂高压，从而引发急性胰腺炎。在所有急性胰腺炎病例中，都应彻底调查胆源性微结石症的可能性，并通过在放射外科和/或内镜控制下清除胆管的胆囊切除术来预防复发。
