Abstract |
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.
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Authors | V K Gostishchev, V I Misnik, I D Kanorskiĭ, R A Megrabian, A D Gur'ev, Iu S Koshelev |
Journal | Khirurgiia
(Khirurgiia (Mosk))
Issue 2
Pg. 3-6
(Feb 1991)
ISSN: 0023-1207 [Print] Russia (Federation) |
Vernacular Title | Zabolevaniia bol'shogo duodenal'nogo sosochka kak prichina postkholetsistéktomicheskogo sindroma. |
PMID | 2041343
(Publication Type: Comparative Study, English Abstract, Journal Article)
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Topics |
- Aged
- Ampulla of Vater
- Cholangitis
(etiology)
- Cholecystectomy
(adverse effects)
- Common Bile Duct Diseases
(etiology)
- Constriction, Pathologic
- Gallstones
(etiology)
- Humans
- Syndrome
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