Effects of different size and type of periampullary duodenal diverticula on the incidence of biliary tract diseases
10.3760/cma.j.issn.1007-5232.2017.11.005
- VernacularTitle:不同大小及类型壶腹周围憩室对胆道疾病发病情况的影响
- Author:
Zhanguo CAO
1
;
Ning LI
;
Zhenyu WANG
;
Li ZHANG
;
Shuai WANG
Author Information
1. 300100,天津市南开医院微创外科中心
- Keywords:
Diverticulum;
Ampulla of Vater;
Biliary tract diseases;
Incidence
- From:
Chinese Journal of Digestive Endoscopy
2017;34(11):779-782
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the effects of different size and type of periampullary diverticula ( PAD) on the incidence of biliary tract diseases. Methods The data of patients with PAD, who were first diagnosed by endoscopic examination in Tianjin Nankai Hospital from April 2013 to March 2016 were collected, and the age, gender, morbidity of biliary tract diseases, and the relationship between the size and type of PAD with biliary tract diseases were analyzed. Results A total of 1012 PAD patients were collected in the study. The rate of acute pancreatitis in patients with small PAD (18. 03％, 97/538) was higher than that of patients with large PAD ( 10. 78％, 11/102 ) and middle PAD ( 12. 90％, 48/372 ) , and the difference was statistically significant(P=0. 024). The rate of acute cholangitis in patients with large PAD (46. 08％, 47/102) was higher than that of patients with middle PAD (39. 52％,147/372) and small PAD ( 33. 46％, 180/538) , and the difference was statistically significant( P=0. 029) . No significant differences were observed in the morbidity of common bile duct stones, acute pancreatitis and acute cholangitis among the different types of PAD(P>0. 05). Conclusion The size of PAD is correlation with the incidence of biliary tract diseases, but the type of PAD has no significant impact for the incidence of biliary tract diseases.
