The association between gallstone and biliary pancreatitis
10.12449/JCH241031
- VernacularTitle:胆道结石与胆源性胰腺炎的关系
- Author:
Weijia LI
1
;
Zhenfang LI
;
Qian ZHANG
;
Cong LI
;
Fengjiao WANG
;
Qi ZHAO
Author Information
1. 山东大学齐鲁医学院,济南 250012
- Keywords:
Pancreatitis;
Abdomen,Acute;
Gallstones
- From:
Journal of Clinical Hepatology
2024;40(10):2116-2120
- CountryChina
- Language:Chinese
-
Abstract:
Acute pancreatitis is one of the most common acute abdominal diseases in clinical practice,and the common etiologies of acute pancreatitis include biliary diseases,alcohol,pancreatic duct diseases,metabolic disorders(hypertriglyceridemia and hypercalcemia),excessive eating,and diseases of the descending duodenum(periampullary duodenal diverticula).According to the etiology,acute pancreatitis is classified into biliary pancreatitis and hyperlipidemic pancreatitis,and although there are various pathogenic factors for biliary pancreatitis,biliary diseases including bile duct stones remain the most important etiology of biliary pancreatitis.Obstructed biliopancreatic duct drainage and abnormal pressure due to various causes,bile reflux into the pancreatic duct,obstruction of pancreatic juice drainage,and abnormal activation of pancreatic enzymes are the central links in the development of biliary pancreatitis.The location,size,texture,number and shape of bile duct stones are associated with the incidence rate and severity of biliary pancreatitis to a certain degree.
