Diagnosis and Treatment of Pancreatic Duct Obstruction.
10.3969/j.issn.1007-9610.2001.02.006
- VernacularTitle:胰管梗阻的诊断和治疗
- From:
Journal of Surgery Concepts & Practice
2001;6(2):79-81
- CountryChina
- Language:Chinese
-
Abstract:
To explore the diagnosis and surgical treatment of pancreaticduct obstruction. Methods: Twenty-seven cases of cholangiopancreatical diseases with pancreatic duct obstruction were admitted in our hospital. Among them, eleven cases were chronic pancreatitis, 16 were late stage of pancreatic or peri-ampullary cancer. In the former group, Partington operation was performed to 6 cases; side-to-end pancreato-jejunostomy was carried out to the other 5 cases with stricture in the outlet of the pancreatic duct. For those with malignant diseases, only 5 patients underwent pancreato-jejunostomy. Results: After operation, the symptoms(including abdominal pain and indigestion) were released dramatically in 10 of 15 patients with pancreatitis, compared to those of 5 of 16 patients with malignant diseases. Conclusions: Abdominal pain and indigestion were the common symptoms in cholangio-pancreatical disorders, pancreatic duct hypertension caused by pancreatic duct obstruction is the likely explanation for it. Appropriate operative procedures should be performed to drain the pancreatic duct.