| Clinical features of patients with chronic pancreatitis complicated by bile duct strictures. | |
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MedLine Citation:
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PMID: 15239276 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND/AIMS: Distal bile duct stenosis is relatively rare in patients with non-alcoholic chronic pancreatitis. METHODOLOGY: The clinical features of eight patients who had chronic pancreatitis complicated by bile duct strictures who underwent surgical treatments were reviewed. RESULTS: Ages ranged from 38 to 80 years, with a mean of 53.4 years. All but one patient were male. Six patients had moderate or slight epigastric pain. Five patients had obstructive jaundice and underwent biliary drainage. All patients had liver dysfunction due to biliary obstruction. Although four of the eight patients were heavy or moderate drinkers, none of the patients had a history of chronic pancreatitis. Stricture shapes of the common bile ducts were smooth and tapering in five patients, funnel-shaped in two, and rat-tail in one. Four patients underwent a pancreatoduodenectomy and one patient underwent a pylorus-preserving pancreatoduodenectomy for clinically suspected pancreatic malignancy that was later proven histopathologically to be chronic pancreatitis. The other three patients underwent a choledochoduodenostomy. There were no postoperative complications or deaths. During the follow-up period, all patients were asymptomatic. CONCLUSIONS: In conclusion, bile duct stricture potentially occurs not only in patients with alcoholic chronic pancreatitis but also in patients with nonalcoholic chronic pancreatitis. Furthermore, in some cases, it is impossible to differentiate chronic pancreatitis from pancreatic or periampullary malignancy. |
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Authors:
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Fumio Kimura; Masaru Miyazaki; Hiroshi Itoh; Toshikazu Suwa; Toshiyuki Sugiura; Tokuzou Shinoda |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Hepato-gastroenterology Volume: 51 ISSN: 0172-6390 ISO Abbreviation: Hepatogastroenterology Publication Date: 2004 Jul-Aug |
Date Detail:
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Created Date: 2004-07-08 Completed Date: 2004-09-21 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 8007849 Medline TA: Hepatogastroenterology Country: Greece |
Other Details:
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Languages: eng Pagination: 1191-5 Citation Subset: IM |
Affiliation:
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Department of General Surgery, Chiba University Graduate School of Medicine, Inohana, Chiba, Japan. kimura-f@umin.ac.jp |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Aged, 80 and over Animals Cholangiography Choledochostomy Chronic Disease Common Bile Duct Diseases / etiology*, physiopathology*, radiography, surgery Constriction, Pathologic Female Follow-Up Studies Humans Liver / physiopathology Male Middle Aged Pancreas / radiography Pancreaticoduodenectomy Pancreatitis / complications*, physiopathology*, radiography, surgery Pancreatitis, Alcoholic / complications, physiopathology, radiography, surgery Rats Retrospective Studies Tomography, X-Ray Computed Treatment Outcome Tumor Markers, Biological / blood |
| Chemical | |
Reg. No./Substance:
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0/Tumor Markers, Biological |
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