Juxtapaillary duodenal diverticula in patients of acute calculous cholangitis
10.3760/cma.j.issn.1007-631X.2015.11.018
- VernacularTitle:十二指肠乳头旁憩室在急性结石性胆管炎发病中的意义
- Author:
Yunxiao LYU
;
Yunxiao CHENG
;
Yueming XU
;
Weibing DU
;
Bin WANG
;
Jiang HE
- Publication Type:Journal Article
- Keywords:
Duodenal disease;
Cholanglitis;
Procalcitonin;
Duodenoscopy
- From:
Chinese Journal of General Surgery
2015;30(11):903-905
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the clinical significance of juxtapaillary duodenal diverticula (JPDD) in patients of acute calculous cholangitis (AC) with different severity grade.Methods A retrospective analysis was carried out for 488 AC cases of different severity from January 2011 to December 2013 who underwent duodenoscopy in Dongyang People's Hospital.Results Of the 488 patients, the JPDD was found in 2.87％, 6.15％ and 4.10％ in patients with mild, moderate and severe AC, respectively.The prevalence of JPDD in severe AC were significantly higher in the moderate and mild AC (x2 =4.486, P =0.034;x2 =14.686, P ＜ 0.001);Procalcitonin (PCT) concentrations in severe AC of JPDD were significantly higher in moderate and mild AC of JPDD (t =10.420 9, P ＜ 0.001;t =4.870 4, P ＜ 0.001).The cannulation failure rate and the amylase were significantly higher in JPDD patients compares to patients without JPDD (x2 =36.95, P ＜ 0.001;t =8.29, P ＜ 0.001).Conclusions JPDD detection rate increases with aging and seems to be associated with acute cholangitis (AC) with different severity grade and PCT concentration.JPDD predicts a higher cannulation failure rate and the amylase level after duodenoscopy.
