摘要
BACKGROUND: Pancreatolithiasis is rarely recognized clinically. This study was undertaken to assess the value of ultrasonography in the diagnosis of 16 patients with pancrea- tolithiasis and its treatment with pancreatolithotomy plus side-to-side pancreaticojejunostomy. Extracorporeal shock wave lithotripsy was also used in some patients. METHODS: In the 16 patients with pancreatolithiasis trea- ted at our hospital from 1977 to June 2002, 3 patients were complicated by pancreatic cancer, 2 pancreatic head cyst, and 1 choledochal cyst. Ten patients underwent operation, 3 received endoscopic sphincterotomy ( EST), and 3 re- fused operation and left the hospital. RESULTS; Epigastric pain was the major symptom of the disease. Ultrasonography was the best choice for the diag- nosis of the disease in addition to CT for determining chara- cteristics and location of pancreatolithiasis associated with pancreatic cancer, ERCP for showing pancreatic stone, and EST for detecting stone in the pancreatic head. Pancrea- tolithotomy plus side-to-side pancreaticojejunostomy was used for the treatment of pancreatolithiasis. CONCLUSIONS; Ultrasonography is the first choice for the diagnosis of pancreatolithiasis. Pancreatolithotomy plus side-to-side pancreaticojejunostomy is the best choice for the treatment of pancreatolithiasis. CT is of great value in determining characteristics and locations of pancreatolithia- sis associated with pancreatic cancer. For patients with pan- creatolithiasis associated with pancreatic cancer, surgical treatment should follow the principles of individualized therapy.
BACKGROUND: Pancreatolithiasis is rarely recognized clinically. This study was undertaken to assess the value of ultrasonography in the diagnosis of 16 patients with pancrea- tolithiasis and its treatment with pancreatolithotomy plus side-to-side pancreaticojejunostomy. Extracorporeal shock wave lithotripsy was also used in some patients. METHODS: In the 16 patients with pancreatolithiasis trea- ted at our hospital from 1977 to June 2002, 3 patients were complicated by pancreatic cancer, 2 pancreatic head cyst, and 1 choledochal cyst. Ten patients underwent operation, 3 received endoscopic sphincterotomy ( EST), and 3 re- fused operation and left the hospital. RESULTS; Epigastric pain was the major symptom of the disease. Ultrasonography was the best choice for the diag- nosis of the disease in addition to CT for determining chara- cteristics and location of pancreatolithiasis associated with pancreatic cancer, ERCP for showing pancreatic stone, and EST for detecting stone in the pancreatic head. Pancrea- tolithotomy plus side-to-side pancreaticojejunostomy was used for the treatment of pancreatolithiasis. CONCLUSIONS; Ultrasonography is the first choice for the diagnosis of pancreatolithiasis. Pancreatolithotomy plus side-to-side pancreaticojejunostomy is the best choice for the treatment of pancreatolithiasis. CT is of great value in determining characteristics and locations of pancreatolithia- sis associated with pancreatic cancer. For patients with pan- creatolithiasis associated with pancreatic cancer, surgical treatment should follow the principles of individualized therapy.
