臨牀消化器内科 Vol.13 No.11(1)


特集名 知っておくべき疾患 --胆・膵
題名 総胆管拡張症とCholedochocele
発刊年月 1998年 10月
著者 佐々木 睦男 弘前大学医学部第二外科
【 要旨 】 先天性総胆管拡張症(総胆管拡張症)は東洋人種に多く経験される疾患で,膵・胆管合流異常を合併する率が高く,胆道癌のハイリスクグループである.したがって,これらの症例に対しては胆汁と膵液の分流手術が必要とされる.総胆管拡張症の病型分類で,戸谷III型(Alonso-LejIII型)はきわめてまれであり,これまでの報告例は約50例と推定される.この病型の教室例の紹介とともに,保存的療法を含めた治療法について述べた.
Theme Digestive Diseases to Know -- Biliary Tract, Pancreas
Title Choledochal Cyst and ChoIedochocele
Author Mutsuo Sasaki Department of Surgery, Hirosaki University School of Medicine
[ Summary ] Choledochal cyst is a congenital disease and common in females (female:male, 4:1) with higher prevalence in Japan and Orientals. This disease is frequently associated with anoma1ous junction of the pancreatic duct and common bile duct which causes the arising of gallbladder and common bile duct cancer. The principle of surgical procedure is cyst excision and reconstruction of biliary tract. Todani III (Alonso-Lej III) type is very rare ma1formation and the clinical features and the conservative treatment for this type were discussed.
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