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ID 17613
Eprint ID
17613
FullText URL
Thumnail 88_449.pdf 524 KB
Title Alternative
Studies on chronic pancreatopathy associated with diseases of the biliary tract Part Ⅱ Studies on exocrine function and it's corelation with endoscopic retrograde pancreatograms
Author
Mandai, Masayoshi
Abstract
This report is concerned with studies on exocrine function and it's corelation with endoscopic retrograde cholangiopancreatography in cases of choledocholithiasis and cholelithiasis. Following are the results obtained. 1) Pancreozymin-Secretin test showed a decrease of exocrine function, in 53.3 percent of choledocholithiasis and in 26.9 percent of cholelithiasis. However, when the results were evaluated by physiological values of individual patient's age group, the corrected incidence was 20 percent and 7.7 percent respectively. 2) Most frequently observed abnormality was a decrease in maximal bicarbonate concentration. However, when the results were evaluated by physiological values of individual patient's age group, incidence of a decrease was similar in four factors; volume, maximal bicarbonate concentration, total bicarbonate out put, and total amylase out put. 3) No abnormality of exocrine function test was observed in cases with normal ERCP, whereas abnormal ERCP does not necessarily indicate a normal exocrine function. Decrease in exocrine function is expected in 70 to 75 percent of cases with moderate to marked dilation and irregularity of the margin and diameter of the pancreatic duct. 4) Results of the present and the previous report indicate the following process as the most likely pathogenesis of chronic pancreatopathy associated with diseases of the biliary tract; diseases of the biliary tract→ abnormality of the Vaterian pancreatic and bile duct→ obstruction of outflow of pancreatic juice→ dilatation and other abnormalities of the pancreatic duct→ chronic pancreatopathy. 5) In conclusion, diagnoses and treatment of cholelithiasis and choledocholithiasis can be satisfactory only with concomitant evaluation and treatment of abnormalities of the Vaterian bile and pancreatic duct and the pancreas.
Published Date
1976-06-30
Publication Title
岡山医学会雑誌
Publication Title Alternative
Journal of Okayama Medical Association
Volume
volume88
Issue
issue5-6
Publisher
岡山医学会
Publisher Alternative
Okayama Medical Association
Start Page
449
End Page
457
ISSN
0030-1558
NCID
AN00032489
Content Type
Journal Article
Official Url
https://www.jstage.jst.go.jp/article/joma1947/88/5-6/88_5-6_449/_article/-char/ja/
Related Url
http://www.okayama-u.ac.jp/user/oma/
language
日本語
Copyright Holders
岡山医学会
File Version
publisher
Refereed
True
Eprints Journal Name
joma