老年十二指肠乳头旁憩室与胆胰疾病的关系

目的探讨老年人十二指肠乳头旁憩室与胆胰疾病的关系。方法经内镜逆行胰胆管造影确诊的60岁以上十二指肠乳头旁憩室患者102例,对所有病例行B超及/或CT扫描并做实验室检查以确定其所患胆胰疾病,分析憩室与胆胰疾病的关系。结果全组并发胆系结石75例,占73.53%。各种胰腺炎共21例占20.6%。34例胆囊切除患者中29例继发胆总管结石,占85.29%。结论老年人十二指肠乳头旁憩室与胆胰疾病有关,特别与胆系结石及胆囊切除术后继发胆总管结石关系密切。

Relationship between juxtapapillary duodenal diverticula and biliopancreatic diseases in patients over 60 years old

Objectives To explore the relationship between juxtapapillary duodenal diverticula and biliopancreatic diseases in the > 60-year-old patients. Methods A total of 102 patients over 60 years of age with juxtapapillary duodenal diverticula were definitely diagnosed by endoscopic retrograde cholangio-pancreatography (ERCP), all of whom also had biliopancreatic dis-eases as confirmed by B ultrasound and/or CT scan. Results Of all the patients, 75 were identified as having biliary calculi (73.53%), and 21 had pancreatitis (20.6%). Among the 54 patients undergoing cholecystectomy, 29 (85.29%) developed common bile duct calculi postoperatively. Conclusions Juxtapapillary duodenal diverticula in senior patients is often associated with biliopancre-atic diseases, and is particularly in close relation to common bile duct calculi secondary to biliary calculi and cholecystectomy.