al Karawi M A, el Shiekh Mohamed A R, al Shahri M G, Yasawy M I
Gastroenterology Division, Armed Forces Hospital, Riyadh, Kingdom of Saudi Arabia.
Hepatogastroenterology. 1993 Aug;40(4):396-401.
Thirty-five patients with acute gallstone pancreatitis and/or cholangitis underwent endoscopic sphincterotomy. In 15 out of 18 patients with acute gallstone pancreatitis, common bile duct (CBD) stones, 5 of which were impacted, were removed. This resulted in prompt improvement in 12 of these patients. Eleven patients had acute gallstone cholangitis in ten of whom--including one patient who had cholangiocarcinoma associated with Clonorchis sinensis--CBD stones were extracted. Six other patients had both acute pancreatitis and cholangitis, one of whom had a choledochal cyst and had surgery; another patient with a post-surgical CBD fistula and retained stone, improved following stone extraction and nasobiliary tube insertion. The duration of hospitalization ranged between 5 and 19 days in the 26 patients treated endoscopically, and between 25 and 90 days in the 9 surgically treated patients.
35例急性胆石性胰腺炎和/或胆管炎患者接受了内镜括约肌切开术。18例急性胆石性胰腺炎患者中有15例存在胆总管（CBD）结石，其中5例为嵌顿性结石，均被取出。这使得其中12例患者症状迅速改善。11例急性胆石性胆管炎患者中，有10例取出了CBD结石，其中1例患者合并华支睾吸虫相关胆管癌。另外6例患者同时患有急性胰腺炎和胆管炎，其中1例患有胆总管囊肿并接受了手术；另1例患者术后出现CBD瘘并残留结石，结石取出及插入鼻胆管后病情改善。接受内镜治疗的26例患者住院时间为5至19天，接受手术治疗的9例患者住院时间为25至90天。
