慢性すい炎にみられる消化性潰よう・悪性腫よう・手術既往に関する検討

• 王 暁宇

  中国北京市第六病院内科

• 若杉 英之

  国立病院九州がんセンター内科

書誌事項

タイトル別名

• Importance of past history of peptic ulcer, cancer and surgery in patients with chronic pancreatitis.

抄録

We investigated the incidence of peptic ulcer, cancer and surgical history, which should always be taken into account when examining and treating chronic pancreatitis. From 1972 to 1992 we examined 154 patients with chronic pancreatitis at National Kyushu Cancer Center. Peptic ulcer and cancer were found in 14.3% and 14.9%, respectively. Surgery had been performed on 63.0%; pancreatectomy in 14.3% and gastrectomy in 9.7%. Chronic pancreatitis cases with peptic ulcer showed high incidences of decreased pancreatic bicarbonate secretion and moderate or advanced ERP abnormality. Additionally alcoholic pancreatitis was found more often in cases with peptic ulcer than those without, although the differences were not significant. Chronic pancreatitis was diagnosed at around the same age, at which peptic ulcer was found, but cancer was discovered much later. Pancreatectomy and exploratory celiotomy for suspected pancreatic cancer were performed in 9.1% and 5.8% of all the chronic pancreatitis patients, respectively. These results show that history of peptic ulcer and cancer plus the patients' surgical history must be kept in mind when examining and treating chronic pancreatitis patients.

収録刊行物

• 医療

  医療 47 (12), 925-930, 1993

  一般社団法人 国立医療学会

キーワード

• 慢性膵炎
• 消化性潰瘍
• 悪性腫瘍
• 手術既往

詳細情報

• CRID: 1390001206315467776
• NII論文ID: 130004314832
• DOI: 10.11261/iryo1946.47.925
• ISSN: 18848729
• ISSN: 00211699
• 本文言語コード: ja
• データソース種別:
  • JaLC
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可