[Relationship between juxtapapillary duodenal diverticula and biliopancreatic diseases in patients over 60 years old].
摘要
OBJECTIVE: To explore the relationship between juxtapapillary duodenal diverticula and biliopancreatic diseases in the > 60-year-old patients. METHODS: A total of 102 patients over 60 years of age with juxtapapillary duodenal diverticula were definitely diagnosed by endoscopic retrograde cholangio-pancreatography (ERCP), all of whom also had biliopancreatic diseases as confirmed by B ultrasound and/or CT scan. RESULTS: Of all the patients, 75 were identified as having biliary calculi (73.53%), and 21 had pancreatitis (20.6%). Among the 54 patients undergoing cholecystectomy, 29 (85.29%) developed common bile duct calculi postoperatively. CONCLUSIONS: Juxtapapillary duodenal diverticula in senior patients is often associated with biliopancreatic diseases, and is particularly in close relation to common bile duct calculi secondary to biliary calculi and cholecystectomy.