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以消化道梗阻为主要表现的沟槽状胰腺炎2例报告

李彦敏 史宁 牛琼 程宪永 李琼 王凯 肖欣 刘成霞 戴国栋

引用本文:
Citation:

以消化道梗阻为主要表现的沟槽状胰腺炎2例报告

DOI: 10.3969/j.issn.1001-5256.2020.12.032
详细信息
  • 中图分类号: R576

Groove pancreatitis with digestive tract obstruction as the main manifestation: A report of 2 cases

  • 摘要:

    <正>沟槽状胰腺炎(groove pancreatitis,GP)是慢性胰腺炎的一个亚组,因病变主要累及胰头、十二指肠以及胆总管下段之间的沟槽区域而得名。其发病率较低,临床医师对其认识相对不足,目前尚无普通人群中GP发病率的相关研究,据报道慢性胰腺炎患者中行胰十二指肠切除术最终病理诊断为GP的患者占2.7%~24.4%[1-2]。GP患者多以逐渐加重的腹痛、消化道梗阻、黄疸等原因就诊[3-6],临床表现无特异性,且由于病变位置特殊,常与胰头癌难以鉴别。为提高广大临床工作者对该病的认识,本文就2例以上消化道梗阻为主要表现的GP患者作一报道,并进行相关文献复习。

     

  • [1] STOLTE M,WEISS W,VOLKHOLZ H,et al. A special form of segmental pancreatitis:“Groove pancreatitis”[J]. Hepatogastroenterology,1982,29(5):198-208.
    [2] IRIE H,HONDA H,KUROIWA T,et al. MRI of groove pancreatitis[J]. J Comput Assist Tomogr,1998,22(4):651-655.
    [3] WANG YL,TONG CH,YU JH,et al. Complete duodenal obstruction induced by groove pancreatitis:A case report[J].World J Clin Cases,2019,7(23):4106-4110.
    [4] TOMIOKA A,SHIMIZU T,ASAKUMA M,et al. Duodenal obstruction due to chronic pancreatitis of the pancreas tail treated by surgical intervention:A case report[J]. Medicine(Baltimore),2019,98(27):e15856.
    [5] FRUTOS-PREZ JM,PEREA-RIBIS M,MARTNEZ-PASCUAL MA,et al. Constitutional syndrome,ascites and duodenal thickening presenting as groove pancreatitis[J]. Eur J Case Rep Intern Med,2018,5(3):000789.
    [6] LI ZR,CAO D,LI J,et al. Clinical features and outcomes of paraduodenal pancreatitis[J]. Acta Acad Med Sin,2018,40(3):328-333.(in Chinese)李卓然,曹迪,李娟,等.十二指肠旁胰腺炎的临床特点和转归[J].中国医学科学院学报,2018,40(3):328-333.
    [7] ADSAY NV,ZAMBONI G. Paraduodenal pancreatitis:A clinico-pathologically distinct entity unifying “cystic dystrophy of heterotopic pancreas”,“para-duodenal wall cyst”,and“groove pancreatitis”[J]. Semin Diagn Pathol,2004,21(4):247-254.
    [8] IEMOTO T,SHIOMI H,MASUDA A,et al. A case of groove pancreatitis associated with duodenal ulcer[J]. Nihon Shokakibyo Gakkai Zasshi,2013,110(1):88-94.
    [9] RAMAN SP,SALARIA SN,HRUBAN RH,et al. Groove pancreatitis:spectrum of imaging findings and radiology-pathology correlation[J]. AJR Am J Roentgenol,2013,201(1):w29-w39.
    [10] EL-NEKIDY AE-AM,IBRAHIM ME,ABDELGAWAD MS,et al.Groove pancreatitis:Imaging features and management[J]. Egypt J Radiol Nucl Med,2016,47:1175-1184.
    [11] BLASBALG R,BARONI RH,COSTA DN,et al. MRI features of groove pancreatitis[J]. AJR Am J Roentgenol,2007,189(1):73-80.
    [12] WANG L,LIU LX,GUO XH. Value of contrast-enhanced endoscopic ultrasonography in the differential diagnosis of mass-type chronic pancreatitis and pancreatic cancer:A Metaanalysis[J]. J Clin Hepatol,2019,35(10):2246-2251.(in Chinese)王乐,刘立新,郭晓红.造影增强超声内镜鉴别肿块型慢性胰腺炎与胰腺癌效果的Meta分析[J].临床肝胆病杂志,2019,35(10):2246-2251.
    [13] LEI XF,JIA SZ,YE J,et al. Application values of detection of serum CA199,CA242 and CA50 in the diagnosis of pancreatic cancer[J]. J Biol Regul Homeost Agents,2017,31(2):383-388.
    [14] ZHANG Y,JIANG L,SONG L. Meta-analysis of diagnostic value of serum Carbohydrate antigen 199 in pancreatic cancer[J]. Minerva Med,2016,107(1):62-69.
    [15] CUI PF,PENG T,TAO J,et al. A comparative study on two different biopsy techniques in the diagnosis of pancreatic cancer[J]. Chin J Gen Surg,2012,27(2):151-154.(in Chinese)崔鹏飞,彭涛,陶京,等.胰腺癌姑息手术中两种不同活检方式的比较[J].中华普通外科杂志,2012,27(2):151-154.
    [16] CHE X,ZHANG JW,CHEN YT,et al. Application value of core needle biopsy technique in the pathological diagnosis of locally advanced pancreatic cancer[J]. Chin Med J,2015,95(14):1093-1095.(in Chinese)车旭,张建伟,陈应泰,等.粗针穿刺活检技术在局部晚期胰腺癌术中病理诊断的应用价值[J].中华医学杂志,2015,95(14):1093-1095.
    [17] GRASSIA R,IMPERATORE N,CAPONE P,et al. EUSguided tissue acquisition in chronic pancreatitis:Differential diagnosis between pancreatic cancer and pseudotumoral masses using EUS-FNA or core biopsy[J]. Endosc Ultrasound,2020,9(2):122-129.
    [18] CHEN J,JIANG K,WU J,et al. Application of intraoperative transluminal core-biopsy for diagnosis of pancreatic head mass:A single center 15-year experience[J]. Pancreatology,2018,18(1):68-72.
    [19] BALDUZZI A,MARCHEGIANI G,ANDRIANELLO S,et al. Pancreaticoduodenectomy for paraduodenal pancreatitis is associated with a higher incidence of diabetes but a similar quality of life and pain control when compared to medical treatment[J]. Pancreatology,2020,20(2):193-198.
    [20] KEMPENEERS MA,ISSA Y,ALI UA,et al. International consensus guidelines for surgery and the timing of intervention in chronic pancreatitis[J]. Pancreatology,2020,20(2):149-157.
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  • 出版日期:  2020-12-20
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