检索结果-南通市图书馆

Importance of early diagnosis of pancreaticobiliary maljunction without biliary dilatation

World Journal of Gastroenterology 2012年第26期18卷 3409-3414页

作者： Kensuke Takuma Terumi Kamisawa Taku Tabata Seiichi Hara Sawako Kuruma Yoshihiko Inaba Masanao Kurata Goro Honda Koji Tsuruta Shin-ichiro Horiguchi Yoshinori Igarashi Department of Internal Medicine Tokyo Metropolitan Komagome HospitalTokyo 113-8677Japan Department of Surgery Tokyo Metropolitan Komagome HospitalTokyo 113-8677Japan Departments of Pathology Tokyo Metropolitan Komagome HospitalTokyo 113-8677Japan Department of Gastroenterology and Hepatology Omori Medical CenterToho University School of MedicineTokyo 143-8541Japan

AIM:To clarify the strategy for early diagnosis of pancreaticobiliary maljunction(PBM) without biliary dilatation and to pathologically examine gallbladder before cancer ***:The anatomy of the union of the pancreatic and bile ducts was assessed by using endoscopic retrograde cholangiopancreatography(ERCP).Patients with a long common channel in which communication between the pancreatic and bile ducts was maintained even during sphincter contraction were diagnosed as having *** these,patients in which the maximal diameter of the bile duct was less than 10 mm were diagnosed with PBM without biliary *** process of diagnosing 54 patients with PBM without biliary dilatation was retrospectively *** analysis of resected gallbladder specimens from 8 patients with PBM without biliary dilatation or cancer was ***:Thirty-six PBM patients without biliary dilatation were diagnosed with gallbladder cancer after showing clinical symptoms such as abdominal or back pain(n = 16) or jaundice(n = 12).Radical surgery for gallbladder cancer was only possible in 11 patients(31%) and only 4 patients(11%) survived for 5 *** patients were suspected as having PBM without biliary dilatation from the finding of gallbladder wall thickening on ultrasound and the diagnosis was confirmed by ERCP and/or magnetic resonance cholangiopancreatography(MRCP).The median age of these 8 patients was younger by a decade than PBM patients with gallbladder *** 8 patients underwent prophylactic cholecystectomy and bile duct cancer has not *** thickness and mucosal height of the 8 resected gallbladders were significantly greater than controls,and hyperplastic changes,hypertrophic muscular layer,subserosal fibrosis,and adenomyomatosis were detected in 7(88%),5(63%),7(88%) and 5(63%) patients,***-67 labeling index was high and K-ras mutation was detected in 3 of 6 ***:To detect PBM without biliar

关键词： Pancreaticobiliary maljunction pancreato-biliary reflux Ultrasound Gallbladder cancer Endo-scopic ultrasonography

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

欢迎您,

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

请选择保存的检索档案：

请选择收藏分类：

通借通还

欢迎您,

建议与咨询 留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

请选择保存的检索档案： 新增检索档案 确定 取消

请选择收藏分类： 新增自定义分类 确定 取消

通借通还

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

请选择保存的检索档案：

请选择收藏分类：