Billroth Ⅱ式胃大部切除术后胆总管结石治疗现状

徐露瑶; 李昌旭; 唐朝辉; 褚成龙; 王英超

doi:10.3969/j.issn.1001-5256.2021.01.050

Billroth Ⅱ式胃大部切除术后胆总管结石治疗现状

DOI: 10.3969/j.issn.1001-5256.2021.01.050

吉林大学第一医院肝胆胰外科，长春 130021

基金项目:

吉林省教育厅“一三五”科学技术项目 (3D5196781428)

作者贡献声明：徐露瑶负责撰写文章；李昌旭、唐朝辉负责参与收集相关文献和数据；褚成龙负责修改论文；王英超负责课题的设计和写作思路的指导。

详细信息

作者简介:
徐露瑶(1994—)，男，主要从事临床肝胆胰脾疾病诊治方面的研究

通信作者:
王英超，yingchao11111@sohu.com

中图分类号: R657.4
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- 被引次数: 0
出版历程
- 收稿日期: 2020-06-25
- 录用日期: 2020-08-05
- 出版日期: 2021-01-20

Current status of the treatment of common bile duct stones after Billroth Ⅱ subtotal gastrectomy

Department of Hepatopancreatobiliary Surgery, The First Hospital of Jilin University, Changchun 130021, China

摘要

摘要: 胆总管结石是消化系统常见的疾病，作为Billroth Ⅱ式胃大部切除术后远期并发症之一，越来越受到临床医生的关注。Billroth Ⅱ式胃大部切除术后胆总管结石发病机制复杂，包括神经、体液和机械因素等。取石途径较多，选择消化内镜治疗、外科手术治疗或经皮经肝途径一直存在争论。临床上应综合评估患者的具体病情并制定个体化治疗方案以达到最佳的疗效。
- 胃切除术后综合征 /
- 胆石 /
- 治疗学
Abstract: Common bile duct stones are a common of digestive system disease, and as one of the long-term complications after Billroth II subtotal gastrectomy, it has attracted more and more attention from clinicians. Common bile duct stones after Billroth II subtotal gastrectomy have a complex pathogenesis, including neurological, humoral, and mechanical factors. Even though there are many methods to remove stones, there are still controversies over the selection of digestive endoscopy, surgical operation, or percutaneous transhepatic approach. Clinicians should fully evaluate the specific conditions of patients and formulate individualized treatment regimens to achieve the best treatment outcome.
- Postgastrectomy Syndromes /
- Gallstones /
- Therapeutics

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参考文献(39)

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