Research progress in etiology of acute gallstone pancreatitis

VernacularTitle:急性胆石性胰腺炎病因学的研究进展
Author: Yanan ZHANG ¹ ; Ao WANG ; Li ZHANG ; Xiande GUO ; Ning LI
Author Information

1. 天津大学中西医结合医院肝胆胰外科，天津　300100
Keywords: Pancreatitis; Gallstone; Etiology
From: Chinese Journal of Hepatobiliary Surgery 2024;30(2):156-160
CountryChina
Language:Chinese
Abstract: Acute gallstone pancreatitis (AGP) is a kind of acute pancreatitis caused by gallstones. The etiology of AGP is complex, and the anatomic basis and initiating factors have a synergistic effect on its pathogenesis, which needs to be studied jointly. The way of the confluence of pancreaticobiliary ducts, dilated main pancreatic duct, the relatively narrow opening of duodenal papilla and small stones or microlithiasis may be involved in the pathogenesis of AGP, in which small stones are the most important. Etiological diagnosis and clinical treatment of AGP should be carried out simultaneously. The timely selection of treatment methods for different causes can alleviate the patient's condition to the greatest extent and reduce the cost of treatment. At present, it is difficult to unify the prediction indexes of AGP. Meanwhile, the pathogenesis and related prophylaxis and treatment also need to be studied. In this paper, the anatomic basis, initiation factors, pathogenesis and self-defense of AGP were analyzed to provide a new perspective for its treatment.