十二指肠乳头旁憩室与胆道结石的关系

Association between periampullary duodenal diverticula and bile duct stones

十二指肠乳头旁憩室的临床重要性源于与胆道结石的密切关系,但不同类型十二指肠乳头旁憩室与胆道结石发生及复发的关系结论不一致。就十二指肠乳头旁憩室的流行病学、分型、发病机制和治疗,不同类型十二指肠乳头旁憩室与胆道结石发生及复发的关系作一综述,以期为今后十二指肠乳头旁憩室合并胆道结石的诊断和治疗提供参考依据。

Endoscopic retrograde cholangiopancreatography helps to improve the diagnostic rate of periampullary duodenal diverticula.The importance of periampullary duodenal diverticula in clinical practice lies in its close association with bile duct stones,and different types of periampullary duodenal diverticula have different associations with the development and recurrence of bile duct stones.This article reviews the epidemiology,typing,pathogenesis,and treatment of periampullary duodenal diverticula and the association between different types of periampullary duodenal diverticula and the development and recurrence of bile duct stones,in order to provide a reference for the diagnosis and treatment of periampullary duodenal diverticula complicated by bile duct stones in future.