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Relationship between pancreaticobiliary dieases and anomalous pancreaticobiliary junction without congenital choledochal cyst
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- Author:
- No author available
- Journal Title:
- CHINESE JOURNAL OF PANCREATOLOGY
- Issue:
- 1
- DOI:
- 10.3760/cma.j.issn.1674-1935.2003.01.010
- Key Word:
- 胰胆管合流异常;胆道疾病;胰腺炎
Abstract： 目的研究无先天性胆管囊性扩张型的胰胆管汇流异常(APBJ)及其与胆胰疾病的关系.方法分析1995年1月～ 2002年1月间逆行胰胆管造影(ERCP)、术中胆道造影(IOC)、磁共振胰胆管造影(MRCP)等影像学检查的2 150例胆胰疾病中的52例无先天性胆管囊性扩张型APBJ及其与胆胰疾病的关系.结果本组APBJ的发生率为2.4%,APBJ的检查发现率为ERCP 2.9%、IOC 2.4%、MRCP 2.0%.在52例无先天性胆管囊性扩张型APBJ中有P-C型(胰管注入胆总管)32例、C-P型(胆总管汇入胰管)20例.胆囊上皮增生的发生率为51.9%,胆囊结石的发生率为73.1%,胆囊息肉样病变的发生率为26.9%,急性胰腺炎的发生率为34.6%.结论 APBJ与胆胰疾病关系密切,无先天性胆管囊性扩张型APBJ的胆囊上皮增生和胆囊息肉样病变发生率高,是胆囊癌发生的一个高危因素,对此类型APBJ病人主张预防性胆囊切除.APBJ是胰腺炎发病的一个重要因素,C-P型APBJ的胰腺炎发生率高,在反复胰腺炎发作而无明显原因时,应考虑有APBJ的存在.
- [1]段体德.胰胆管合流异常并发胆胰疾病的诊治问题[J].1999,(2).
- [2]Kazuhiro Mori,Takukazu Nagakawa,Tetsuo Ohta,etc.Pancreatitis and anomalous union of the pancreaticobiliary ductal system in childhood[J].1993,28(1).
- [3]Tanno Satoshi,Obara Takeshi,Fujii Tsuneshi,etc.Proliferative potential and K\u2010ras mutation in epithelial hyperplasia of the gallbladder in patients with anomalous pancreaticobiliary ductal union[J].1998.
- [4]M, Sugiyama,Y, Atomi.Anomalous pancreaticobiliary junction without congenital choledochal cyst.[J].1998,85(7).
- [5]Watanabe M,Isaji S,Nagai M,etc.Clinical and genetic analysis of noncancerous and cancerous biliary epithelium in patients with pancreaticobiliary maljunction.[J].2002,26(1).
- [6]S, Yamauchi,A, Koga,S, Matsumoto,etc.Anomalous junction of pancreaticobiliary duct without congenital choledochal cyst: a possible risk factor for gallbladder cancer.[J].1987,82.
- [7]Sugiyama M,Kuroda A,Atomi Y.Pancreatic disorders associated with anomalous pancreaticobiliary junction.[J].1999,126(3).
- [8]K, Kimura,M, Ohto,H, Saisho,etc.Association of gallbladder carcinoma and anomalous pancreaticobiliary ductal union.[J].1985,89.
- [9]S, Kobayashi,T, Asano,M, Yamasaki,etc.Prophylactic excision of the gallbladder and bile duct for patients with pancreaticobiliary maljunction.[J].2001,136(7).