Treatment of periamullary diverticula complicated with biliopancreatic disease
- VernacularTitle:十二指肠乳头旁憩室伴胆胰疾病的治疗
- Author:
Yongqiang WANG
;
Hanxin YANG
;
Lihua CHEN
;
Nian SONG
;
Xiuyuan YAN
- Publication Type:Journal Article
- Keywords:
DIVERTICULUM/surg;
DUODENAL DISEASES/surg;
GASTRECTOMY;
ANSTOMOSIS,ROUX-EN-Y;
DIVERTICULUM/compl;
CHOLELITHIASIS/compl;
PANCREATITIS/compl
- From:
Chinese Journal of General Surgery
1993;0(03):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the curative methods of periampullary diverticula(PAD) complicated with biliopancreatic disease.Methods The clinical data of 32 cases of PAD complicated with biliopancreatic disease treated by surgical or endoscopic measures were retrospectively analyzed.Results Of the 32 cases,16 cases were treated with gastroectomy and Roux-en-Y gastrojejunostomy,and 8 with gastroectomy and Billroth Ⅱ gastrojejunostomy,8 with endoscopic sphincterotomy (EST).Postoperative complication occured in 4 cases,but no operative death.Twenty-seven cases were followed up for 5 months-8 years, and the results were excellent in 20 cases, good in 7 cases.Conclusions Gastroectomy and Roux-en-Y gastrojejunostomy is a better surgical method for PAD complicated with biliopancreatic disease.EST has become a new effective measure to deal with the diseases;It will be safe to use the first method for patients with intradiverticular papilla if it treated by EST.
