内镜逆行胰胆管造影术在胆总管囊肿诊断与治疗中的应用
Endoscopic retrograde cholangiopancreatography in the diagnosis and management of choledochal cysts.
作者信息
Akkiz H, Colakoğlu S O, Ergün Y, Demiryürek H, Akinoğlu A, Tuncer I, Ozgür G, Hafta A
机构信息
Department of Gastroenterology, University of Cukurova School of Medicine, Adana, Turkey.
出版信息
HPB Surg. 1997;10(4):211-8; discussion 218-9. doi: 10.1155/1997/38416.
Choledochal cysts are an uncommon anomaly of the biliary system manifested by cystic dilatation of the extra or intrahepatic biliary tree or both. It is most frequently found in Orientals and in females. Endoscopic retrograde cholangiopancreatography is a valuable imaging technique in the diagnosis of choledochal cysts in adults. Additionally, in selected cases, a choledochocele may be effectively managed by endoscopic sphincterotomy. We present clinical and endoscopic findings of six adult patients with choledochal cysts. Clinical symptoms were characterized by abdominal pain, jaundice and cholangitis. Associated hepatobiliary pathologic findings included cholelithiasis, recurrent acute pancreatitis, gallbladder carcinoma, Cystolithiasis, choledocholithiasis, biliary stricture and hepatic abscess.
胆总管囊肿是一种罕见的胆道系统异常，表现为肝外或肝内胆管树或两者的囊性扩张。它最常见于东方人和女性。内镜逆行胰胆管造影术是诊断成人胆总管囊肿的一种有价值的影像学技术。此外，在某些病例中，胆总管囊肿可通过内镜括约肌切开术得到有效治疗。我们报告了6例成年胆总管囊肿患者的临床和内镜检查结果。临床症状以腹痛、黄疸和胆管炎为特征。相关的肝胆病理表现包括胆石症、复发性急性胰腺炎、胆囊癌、囊内结石、胆总管结石、胆管狭窄和肝脓肿。
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