Strategies for diagnosis and treatment of anomalous junction of pancreaticobiliary duct complicated by acute pancreatitis and literature review
10.3760/cma.j.issn.1007-8118.2010.06.003
- VernacularTitle:胰胆管合流异常并发急性胰腺炎的诊治策略及文献复习
- Author:
Ping HUANG
;
Xiao ZHANG
;
Xiaofeng ZHANG
;
Yinghui GUO
;
Xiuying LIN
;
Wen Lü
;
Zhen FAN
- Publication Type:Journal Article
- Keywords:
Pancreatitis;
Anomalous junction of pancreaticobiliary duct;
Endoscopic retrograde cholangiopancreatography;
Cholecystectomy
- From:
Chinese Journal of Hepatobiliary Surgery
2010;16(6):407-409
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the strategies for diagnosis and treatment of anomalous junction of pancreaticobiliary duct (AJPBD) complicated by acute pancreatitis. Methods The clinical dataof 22 patients with abnormal pancreaticobiliary junction were analyzed retrospectively. Results The incidence of acute pancreatitis in this series was 31.8 % (7/22), thereinto, 5 cases(71.4%) in C-Ptype (the common bile duct joining the pancreatic duct) and 2(28.6%) in P-C type (the pancreatic duct joining the common bile duct). Seven patients underwent ERCP+ EST+ ENBD. Two patients with common bile duct stones were treated with stone basket and cholecystectomy was performed in two cases with gallstone. All patients were successfully treated. The follow-up for l year showed that there was no recurrence of pancreatitis. Conclusion Acute pancreatitis usually occurs in patients with AJPBD, especially in C-P type or with gallbladder stone or common bile duct stone. ERCP+EST+ENBD and prophylactic cholecystectomy are effective to prevent and treat acute pancreatitis.
