十二指肠壁内憩室是指部分肠壁向肠腔内突出所形成的袋状突起,内外两面均有粘膜覆盖。本病国内外均少见,现将 B 超所见一例报告如下:患者女性17岁,因上腹痛三天于1992年3月来我院就诊,该患者无明显诱因出现上腹痛呈持续性钝痛,阵发性加...十二指肠壁内憩室是指部分肠壁向肠腔内突出所形成的袋状突起,内外两面均有粘膜覆盖。本病国内外均少见,现将 B 超所见一例报告如下:患者女性17岁,因上腹痛三天于1992年3月来我院就诊,该患者无明显诱因出现上腹痛呈持续性钝痛,阵发性加重,伴恶心、呕吐,呕吐物为胃内容物。体检:仅剑突下压痛明显,局部肌紧张,肝区有叩击痛。化验:尿淀粉酶64u,血淀粉酶256u,临床以“展开更多
Aim of the study -The aim of this retrospective multicenter study was to collect data from patients with chronic alcoholic pancreatitis and cystic dystrophy of the duodenal wall in order to better understand the outco...Aim of the study -The aim of this retrospective multicenter study was to collect data from patients with chronic alcoholic pancreatitis and cystic dystrophy of the duodenal wall in order to better understand the outcome after medical, endoscopic and/or surgical treatment. Patients and methods-The data from medical records of 23 patients consecutively seen in ten primary referral centers from January 1990 to July 2004 were studied. Clinical, biological, and endoscopic features as well as imaging findings were recorded. Response to treatment was noted. Results -Twenty-three patients (20 men), aged 45 years (range: 30-66),with chronic alcohol intake, cystic dystrophy of the duodenal wall, and previously known (N = 14) or simultaneously diagnosed (N = 9) chronic pancreatitis were included. Symptoms most frequently encountered were abdominal pain (N = 22) and weight loss (N = 16). An abdominal ultrasound was available for 10 patients, abdominal computed tomography for 22, upper endoscopy for 18, and endoscopic ultrasonography for 22. Endoscopic ultrasonography enabled diagnosis of cystic dystrophy of the duodenal wall in 19/22 patients. Six patients were symptom-free after alcohol withdrawal. Seven patients received octreotide 200 to 400 μg per day, 5 of whom subsequently underwent surgery (71%). Fourteen patients out of 23 were operated on (61%), 11 of whom underwent pancreaticoduodenectomy and remained symptom-free for 47 months follow-up. Mean follow-up was 56 months (range: 2-78) for non surgical patients (39%) and 47 months (range: 12-108)-for surgical patients (61%). Conclusion -Cystic dystrophy of the duodenal wall complicating chronic alcoholic pancreatitis may be the revealing sign of pancreatitis. Endoscopic ultrasongraphy is the most reliable imaging method for diagnosis. Pancreaticoduodenectomy is the most frequently employed definitive treatment.展开更多
Ectopic pancreas is defined as pancreatic tissue outside the normal location o f the pancreas. It can be affected by the same complications as the orthotopic p ancreas, such as adenocarcinoma.This extremely rare compl...Ectopic pancreas is defined as pancreatic tissue outside the normal location o f the pancreas. It can be affected by the same complications as the orthotopic p ancreas, such as adenocarcinoma.This extremely rare complication (only 14 publis hed cases) may have a better prognosis that adenocarcinoma of an orthotopic panc reas. Endoscopic ultrasonography may be useful in the diagnosis of this disease. We report a case of malignancy of the duodenalwall originating in aberrant panc reatic tissue, and review the literature.展开更多
文摘十二指肠壁内憩室是指部分肠壁向肠腔内突出所形成的袋状突起,内外两面均有粘膜覆盖。本病国内外均少见,现将 B 超所见一例报告如下:患者女性17岁,因上腹痛三天于1992年3月来我院就诊,该患者无明显诱因出现上腹痛呈持续性钝痛,阵发性加重,伴恶心、呕吐,呕吐物为胃内容物。体检:仅剑突下压痛明显,局部肌紧张,肝区有叩击痛。化验:尿淀粉酶64u,血淀粉酶256u,临床以“
文摘Aim of the study -The aim of this retrospective multicenter study was to collect data from patients with chronic alcoholic pancreatitis and cystic dystrophy of the duodenal wall in order to better understand the outcome after medical, endoscopic and/or surgical treatment. Patients and methods-The data from medical records of 23 patients consecutively seen in ten primary referral centers from January 1990 to July 2004 were studied. Clinical, biological, and endoscopic features as well as imaging findings were recorded. Response to treatment was noted. Results -Twenty-three patients (20 men), aged 45 years (range: 30-66),with chronic alcohol intake, cystic dystrophy of the duodenal wall, and previously known (N = 14) or simultaneously diagnosed (N = 9) chronic pancreatitis were included. Symptoms most frequently encountered were abdominal pain (N = 22) and weight loss (N = 16). An abdominal ultrasound was available for 10 patients, abdominal computed tomography for 22, upper endoscopy for 18, and endoscopic ultrasonography for 22. Endoscopic ultrasonography enabled diagnosis of cystic dystrophy of the duodenal wall in 19/22 patients. Six patients were symptom-free after alcohol withdrawal. Seven patients received octreotide 200 to 400 μg per day, 5 of whom subsequently underwent surgery (71%). Fourteen patients out of 23 were operated on (61%), 11 of whom underwent pancreaticoduodenectomy and remained symptom-free for 47 months follow-up. Mean follow-up was 56 months (range: 2-78) for non surgical patients (39%) and 47 months (range: 12-108)-for surgical patients (61%). Conclusion -Cystic dystrophy of the duodenal wall complicating chronic alcoholic pancreatitis may be the revealing sign of pancreatitis. Endoscopic ultrasongraphy is the most reliable imaging method for diagnosis. Pancreaticoduodenectomy is the most frequently employed definitive treatment.
文摘Ectopic pancreas is defined as pancreatic tissue outside the normal location o f the pancreas. It can be affected by the same complications as the orthotopic p ancreas, such as adenocarcinoma.This extremely rare complication (only 14 publis hed cases) may have a better prognosis that adenocarcinoma of an orthotopic panc reas. Endoscopic ultrasonography may be useful in the diagnosis of this disease. We report a case of malignancy of the duodenalwall originating in aberrant panc reatic tissue, and review the literature.
