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腔内十二指肠憩室导致复发性胰腺炎:内镜下切开治疗

Intraluminal duodenal diverticulum causing recurrent pancreatitis: treatment by endoscopic incision.

作者信息

Finnie I A, Ghosh P, Garvey C, Poston G J, Rhodes J M

机构信息

Gastroenterology Unit, Royal Liverpool University Hospital.

出版信息

Gut. 1994 Apr;35(4):557-9. doi: 10.1136/gut.35.4.557.

DOI:10.1136/gut.35.4.557
PMID:8174997
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1374809/
Abstract

Intraluminal duodenal diverticulum is a recognised but rare cause of acute pancreatitis. This patient had three attacks of pancreatitis, each requiring a stay in hospital, within a four month period. The apex of the diverticulum was incised endoscopically, whereupon peas and food debris gushed from the incision site. The patient has had no further symptoms in the 12 months since the endoscopic procedure.

摘要

腔内十二指肠憩室是一种已被认识但罕见的急性胰腺炎病因。该患者在四个月内发生了三次胰腺炎发作,每次都需要住院治疗。在内镜下切开憩室顶端,随后豌豆和食物残渣从切口处涌出。自内镜手术以来的12个月里,患者没有出现进一步的症状。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/85c6/1374809/7f6f25e59e4c/gut00538-0136-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/85c6/1374809/17bbea906c6e/gut00538-0135-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/85c6/1374809/529cf1dc42b8/gut00538-0136-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/85c6/1374809/7f6f25e59e4c/gut00538-0136-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/85c6/1374809/17bbea906c6e/gut00538-0135-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/85c6/1374809/529cf1dc42b8/gut00538-0136-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/85c6/1374809/7f6f25e59e4c/gut00538-0136-b.jpg

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本文引用的文献

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INTRALUMINAL DUODENAL DIVERTICULA.腔内十二指肠憩室
Radiology. 1964 May;82:887-94. doi: 10.1148/82.5.887.
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Intraluminal diverticulum: a form of duplication.腔内憩室:一种重复畸形。
Radiology. 1963 Jan;80:46-9. doi: 10.1148/80.1.46.
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Intraluminal duodenal diverticulum: report of a case.腔内十二指肠憩室:一例报告
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Recurrent pancreatitis due to an intraluminal duodenal diverticulum: report of a case.因腔内十二指肠憩室导致的复发性胰腺炎:病例报告。
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Small Bowel Diverticulosis: An Overlooked Entity.小肠憩室病:一个被忽视的实体。
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Am J Roentgenol Radium Ther Nucl Med. 1959 Dec;82:1036-7.
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Congenital duodenal diaphragm; report of two cases.先天性十二指肠隔膜;两例报告。
Surgery. 1954 Mar;35(3):482-6.
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Duodenal diaphragm associated with superior mesenteric artery syndrome.十二指肠隔膜合并肠系膜上动脉综合征。
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Diagnosis and management of intraluminal duodenal diverticulum.腔内十二指肠憩室的诊断与处理
Dig Dis Sci. 1983 May;28(5):411-6. doi: 10.1007/BF02430529.
7
Anatomy and embryology of congenital intrinsic obstruction of the duodenum.十二指肠先天性内在梗阻的解剖学与胚胎学
Am J Surg. 1967 Aug;114(2):190-202. doi: 10.1016/0002-9610(67)90372-8.
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Pitfalls in the surgical management of the incomplete duodenal diaphragm.不完全性十二指肠隔膜手术治疗中的陷阱
J Pediatr Surg. 1969 Jun;4(3):303-12. doi: 10.1016/0022-3468(69)90675-7.
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Wind sock web of the duodenum.十二指肠风袋样网
Am J Surg. 1968 Sep;116(3):444-9. doi: 10.1016/0002-9610(68)90239-0.
10
Intraluminal duodenal diverticulum. A rare cause of acute pancreatitis.十二指肠腔内憩室。急性胰腺炎的罕见病因。
Am J Dig Dis. 1974 Jul;19(7):673-7. doi: 10.1007/BF01073023.