CAJ | 학술논문

目的探讨ERCP对胆胰管合流异常(APBDJ)的诊断价值与临床处理原则.方法回顾分析近5年来接受ERCP诊疗的患者中,APBDJ的发生情况、分型特点、与合并胆胰疾病的关系,以及内镜下处理的情况.结果探讨ERCP对胆胰管合流异常(APBDJ)的诊断价值与临床处理原则.方法回顾分析近5年来接受ERCP诊疗的患者中,APBDJ的发生情况、分型特点、与合并胆胰疾病的关系,以及内镜下处理的情况.结论 ERCP是APBDJ一种直接、可靠的诊断手段;APBDJ与胆囊癌、胆总管囊肿及慢性胰腺炎等症有非常密切的关联;APBDJ患者可根据合并症的具体情况,采取相应的内镜治疗措施.
목적 탐토ERCP대담이관합류이상(APBDJ)적진단개치여림상처리원칙.방법 회고분석근5년래접수ERCP진료적환자중,APBDJ적발생정황、분형특점、여합병담이질병적관계,이급내경하처리적정황.결과 탐토ERCP대담이관합류이상(APBDJ)적진단개치여림상처리원칙.방법 회고분석근5년래접수ERCP진료적환자중,APBDJ적발생정황、분형특점、여합병담이질병적관계,이급내경하처리적정황.결론 ERCP시APBDJ일충직접、가고적진단수단;APBDJ여담낭암、담총관낭종급만성이선염등증유비상밀절적관련;APBDJ환자가근거합병증적구체정황,채취상응적내경치료조시.
Objective To evaluate application of endoscopic retrograde cholangiopancreatography (ERCP)in diagnosis and managements of anomalous pancreaticobiliary ductal junction(APBDJ).Methods Data of APBDJ patients,including occurrence,sub-type characteristics,relationship with concurrent pancreaticobiliary diseases and endoscopic treatment,who underwent ERCP in the past 5 years,were retrospectively reviewed.Results APBDJ was diagnosed in 49 patients.which accounted for 0.74% of all ERCP cases(6639)in the salne period,among whom,there were 27 cases of P-B sub-type,19 B-P type,and 3 complex type.Gallbladder carcinoma Was accompanied in 16 patients,choledochal cyst in 19,chronic pancreatitis in 7,and pancreas divisum in 2,with morbidity rates signitlcandy higher than those in non-APBDJ population(P＜0.01).The gallbladder carcinoma Was most commonly seen in P-B patients(14/16),and choledochal cyst most frequently occurred in B-P type(15/19).The endoscopic managements applied in APBDJ patients included sphincterotomy in 10 cases,naso-biliary drainage in 16,plastic stenting in 15,metal stenting in 6,and pancreatic stent placement in 2.Conclusion ERCP is a direct and reliable method for the diagnosis of APBDJ,which is commonly complicated with gallbladder carcinoma,choledochal cyst,and chronic pancreatitia.Endoscopic therapy can be considered in accordance with complications.