ERCPにより経過を観察しえたアルコール性慢性膵炎の1例

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  • A Case of Alcoholic Pancreatitis Followed by Endoscopic Retrograde Cholangiopancreatography (ERCP)

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A 37-year-old male heavy drinker was admitted to our hospital because of epigastralgia and back pain. He had been treated under the diagnosis of chronic alcoholic pancreatitis at his first admission. He had been addicted to alcohol and admitted to our hospital four times within two and a half year. ERCP finding at first admission had showed localized stenosis of the mein pancreatic duct (MPD) at the head of pancreas and dilatation of the distal pancreatic duct.<br> At his fourth admission after two and a half years, however, ERCP showed severe stenosis of MPD and protein plug at the head, irregular dilatation of MPD at the distal portion of the head and obstruction of MPD at the body to tail and calcification at the tail of pancreas. However pancreatic endocrine and exocrine functions were still not so severely disterbed. Alcoholic pancreatitis progresses by the continuous intake of alcohol and the abstinence from drinking is import to prohibit progression of pancreatitis.

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