| Peripapillary duodenal diverticulum and biliary tract diseases. | |
| | |
MedLine Citation:
|
PMID: 6442380 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
The relationship between peripapillary duodenal diverticulum and benign biliary tract disease was studied. Peripapillary duodenal diverticulum could be classified pathophysiologically into three types. Type I represents the disease not directly affecting the biliary tract. Type II shows the elevation of bile duct pressure directly caused by intraduodenal pressure loading. Type III includes patients in whom the diverticulum is small and is prone to cause papillitis or mechanical stimulation. This, then, may lead to organic changes in Oddi's sphincter and possibly to biliary tract disorders. In our patients, many cases of peripapillary duodenal diverticulum were associated with calcium bilirubinate stones, indicating that a peripapillary duodenal diverticulum is likely to lead to bile stagnation and ascending infection of the biliary tract and thus cause formation of calcium bilirubinate stones. Based on findings in this study, we want to emphasize that Type II peripapillary duodenal diverticulum should be surgically treated. |
| | |
Authors:
|
N Suzuki; H Yamauchi; W Takahashi; T Sato |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: The Japanese journal of surgery Volume: 14 ISSN: 0047-1909 ISO Abbreviation: Jpn J Surg Publication Date: 1984 Nov |
Date Detail:
|
Created Date: 1985-04-26 Completed Date: 1985-04-26 Revised Date: 2004-11-17 |
Medline Journal Info:
|
Nlm Unique ID: 1302176 Medline TA: Jpn J Surg Country: JAPAN |
Other Details:
|
Languages: eng Pagination: 479-85 Citation Subset: IM |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Aged Ampulla of Vater / physiopathology Bile Duct Diseases / etiology Bile Ducts / physiopathology Bilirubin / metabolism Calcium / metabolism Cholelithiasis / etiology* Diverticulum / complications*, physiopathology Duodenal Diseases / complications*, physiopathology Female Gallstones / etiology Humans Male Middle Aged Pressure |
| Chemical | |
Reg. No./Substance:
|
635-65-4/Bilirubin; 7440-70-2/Calcium |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Effect of extracorporeally induced total body hyperthermia for cancer on cardiovascular function.
Next Document: Liver regeneration and tumor growth in the rat after partial hepatectomy.