摘要
胆总管结石是消化系统常见的疾病,作为BillrothⅡ式胃大部切除术后远期并发症之一,越来越受到临床医生的关注。BillrothⅡ式胃大部切除术后胆总管结石发病机制复杂,包括神经、体液和机械因素等。取石途径较多,选择消化内镜治疗、外科手术治疗或经皮经肝途径一直存在争论。临床上应综合评估患者的具体病情并制定个体化治疗方案以达到最佳的疗效。
Common bile duct stones are a common of digestive system disease,and as one of the long-term complications after Billroth II subtotal gastrectomy,it has attracted more and more attention from clinicians.Common bile duct stones after Billroth II subtotal gastrectomy have a complex pathogenesis,including neurological,humoral,and mechanical factors.Even though there are many methods to remove stones,there are still controversies over the selection of digestive endoscopy,surgical operation,or percutaneous transhepatic approach.Clinicians should fully evaluate the specific conditions of patients and formulate individualized treatment regimens to achieve the best treatment outcome.
作者
徐露瑶
李昌旭
唐朝辉
褚成龙
王英超
XU Luyao;LI Changxu;TANG Chaohui;CHU Chenglong;WANG Yingchao(Department of Hepatopancreatobiliary Surgery,The First Hospital of Jilin University,Changchun 130021,China)
出处
《临床肝胆病杂志》
CAS
北大核心
2021年第1期225-228,共4页
Journal of Clinical Hepatology
基金
吉林省教育厅“一三五”科学技术项目(3D5196781428)。
关键词
胃切除术后综合征
胆石
治疗学
Postgastrectomy Syndromes
Gallstones
Therapeutics
