[Diseases of the major duodenal papilla as a cause of post-cholecystectomy syndrome].
Analysis of 460 patients suffering from the postcholecystectomy syndrome (PCS) revealed an abnormality in the major duodenal papilla (MDP) in 32.4% of them. The development of PCS in this group of patients was caused by coexistence of several pathological processes, which was established in 71% of patients with diseases of the MDP. The most frequently encountered conditions were papillitis (59.1%), cicatricial stenosis (56.3%), and stones (14.7%). Papillitis plays a double cause-effect role in PCS: as a primary chronic disease it may lead to cicatricial stenosis of the MDP, and, on the other hand, it may be a consequence of choledocholithiasis, cholangitis, and other diseases. Endoscopic papillosphincterotomy is the most effective method for the treatment of PCS caused by MDP diseases; it makes it possible to reduce significantly the number of repeated abdominal operations.
Gostishchev
V K
VK
Misnik
V I
VI
Kanorskiĭ
I D
ID
Megrabian
R A
RA
Gur'ev
A D
AD
Koshelev
Iu S
IuS
D000368:Aged; D014670:Ampulla of Vater; D002761:Cholangitis / Q000209:etiology; D002763:Cholecystectomy / Q000009:adverse effects*; D003137:Common Bile Duct Diseases / Q000209:etiology; D003251:Constriction, Pathologic; D042882:Gallstones / Q000209:etiology; D006801:Humans; D013577:Syndrome
Zabolevaniia bol'shogo duodenal'nogo sosochka kak prichina postkholetsistéktomicheskogo sindroma.