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ID 17613
Eprint ID
17613
フルテキストURL
88_449.pdf 524 KB
タイトル(別表記)
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
著者
万袋 昌良 岡山大学医学部平木内科教室
抄録
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.
発行日
1976-06-30
出版物タイトル
岡山医学会雑誌
出版物タイトル(別表記)
Journal of Okayama Medical Association
88巻
5-6号
出版者
岡山医学会
出版者(別表記)
Okayama Medical Association
開始ページ
449
終了ページ
457
ISSN
0030-1558
NCID
AN00032489
資料タイプ
学術雑誌論文
オフィシャル URL
https://www.jstage.jst.go.jp/article/joma1947/88/5-6/88_5-6_449/_article/-char/ja/
関連URL
http://www.okayama-u.ac.jp/user/oma/
言語
日本語
著作権者
岡山医学会
論文のバージョン
publisher
査読
有り
Eprints Journal Name
joma
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