Progress in the diagnosis and treatment of acute pancreatitis complicated by biliary tract diseases
10.3760/cma.j.cn112139-20240708-00330
- VernacularTitle:急性胰腺炎并发胆道系统疾病的诊治进展
- Author:
Qiyuan LI
1
;
Yan LUO
;
Bei SUN
Author Information
1. 哈尔滨医科大学附属第一医院胰胆外科，哈尔滨 150001
- Keywords:
Pancreatitis;
Biliary tract diseases;
Acute acalculous cholecystitis;
Biliary stricture
- From:
Chinese Journal of Surgery
2025;63(1):76-80
- CountryChina
- Language:Chinese
-
Abstract:
Acute pancreatitis is a common surgical emergency characterized by severe local or systemic complications during its progression. Diseases of the biliary system are among the serious local complications of acute pancreatitis, primarily including acute acalculous cholecystitis (AAC) and biliary stricture. AAC often occurs in the later stages of acute pancreatitis, exacerbating systemic inflammation and leading to organ failure and life-threatening conditions in severe cases. Biliary stricture is a rare but serious long-term complication of acute pancreatitis, which can induce cholangitis, progressive liver function impairment, and secondary biliary cirrhosis. Due to the clinical symptoms of acute pancreatitis that can mask biliary system diseases, some patients may not receive timely diagnosis and treatment for concurrent biliary issues during the onset of acute pancreatitis, which can be life-threatening in severe cases. Currently, the ideal treatment strategy for biliary system complications secondary to acute pancreatitis remains unclear, lacking definitive guidelines or consensus. This article integrates recent research developments from both domestic and international studies to elucidate the pathogenesis, diagnosis, and treatment strategies for biliary system complications secondary to acute pancreatitis.
