<原著>慢性膵炎による胆管狭窄 : 閉塞性黄疸発現例についての考察

概要

論文の詳細を見る
Recent advance in the technical approach and in the diagnostic value of endoscopic retrograde cholangiopancreatography (ERCP), percutaneous transhepatic cholangiography (PTC), ultrasonography (US) of the abdomen, computed tomography (CT) of the abdomen, and so on developed reappraisal of the benign bile duct stricture due to involvement from chronic pancreatitis. Although this type of stricture is not so rare, the occurrence of associated obstructive jaundice is seldom encountered during the usual clinical course. Two cases of chronic pancreatitis associated with obstructive jaundice due to the bile duct stricture are presented : one was diffuse sclerosing pancreatitis of a 70-year-old female, another was focal nodular pancreatitis in the head of pancreas of a 65-year-old male. Differentiation from the carcinoma of the pancreas is the most important problem in this type of cholestasis. Differences among the preoperative diagnoses of results of ERCP, PTC, US, CT and celiac angiography may suggest the benign lesion. Easy passage of contrast media and of the tube of endoscopic retrograde biliary drainage (ERBD) or PTC-drainage through the stricture may, also, indicate the benign stricture. In order to avoid excessive surgical intervention applied to the malignant lesion. intra-operative careful histological examination using multiple specimens of frozen section is advocated.
近畿大学の論文
1983-12-25