Wassef W, Zfass A M
Medical College of Virginia, Department of Internal Medicine, Richmond 23298-0711, USA.
Gastroenterologist. 1996 Mar;4(1):70-5.
Gallstone pancreatitis is one of the more prevalent causes of pancreatitis. It accounts for more than two thirds of the cases of acute pancreatitis worldwide and 25 to 45% of the cases in the United States. Furthermore, it is one of the most important treatable causes of pancreatitis. These two important features of the disease make its recognition and proper management critical. Key to recognition and proper management of gallstone pancreatitis is understanding that this disease can exist in three different forms. It can exist as impacted gallstone pancreatitis, as nonimpacted gallstone pancreatitis, or as sludge-related pancreatitis. Each of these forms of the disease will have some unique features relating to their pathogenesis, diagnosis, and treatment. This update focuses on "take-home" features that will allow (1) clinical differentiation between the three forms of the disease and (2) understanding the unique features that relate to their pathogenesis, diagnosis, and management.
胆石性胰腺炎是胰腺炎较为常见的病因之一。它占全球急性胰腺炎病例的三分之二以上，在美国占25%至45%。此外，它是胰腺炎最重要的可治疗病因之一。该疾病的这两个重要特征使得对其识别和恰当管理至关重要。识别和恰当管理胆石性胰腺炎的关键在于理解该疾病可呈现三种不同形式。它可以表现为嵌顿性胆石性胰腺炎、非嵌顿性胆石性胰腺炎或胆泥相关性胰腺炎。这些疾病形式中的每一种在发病机制、诊断和治疗方面都有一些独特的特征。本综述重点关注“实用”特征，这些特征将有助于（1）对该疾病的三种形式进行临床鉴别，以及（2）理解与它们的发病机制、诊断和管理相关的独特特征。
