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急性胆源性胰腺炎(acute biliary pancreatitis,ABP)急性胆源性胰腺炎是一组不同类型的胆道疾病和继发急性胰腺炎的总和,是普外科常见病,尤其是随着近年来慢性结石性胆囊炎发病率的上升,国内ABP约占胰腺炎年发病人数的50%～70%,其以起病急、发展快、死亡率高为显著特点,随着治疗观念的改变,十二指肠镜,腹腔镜等微创技术在提高ABP的治疗中凸显出显著地优势,本文对这两项技术在ABP的应用现况做一简要综述。1 ABP概述1.1 ABP的病因普遍接受共同通道学说和胆汁反流。胆总管和胰管汇合成胆胰壶腹,两者共同开口于十二指肠,出现乳头括约肌受刺激水肿、结石或胆泥梗阻在壶腹部、十二指肠乳头括约肌狭窄等情况时,胰胆管排空
Acute biliary pancreatitis (ABP) Acute biliary pancreatitis is the sum of a group of different types of biliary disease and secondary acute pancreatitis and is a common disease of general surgery, especially with the recent years with chronic stones The incidence of sexual cholecystitis increased, the domestic ABP accounts for about 50% of the incidence of pancreatitis in 70% of the number of patients with acute onset, rapid development and high mortality as a distinctive feature, with the treatment concept changes, the twelve Minimally invasive techniques such as colonoscopy and laparoscopy have shown significant advantages in improving ABP treatment. In this paper, a brief review on the application of these two techniques in ABP is summarized. 1 ABP Overview 1.1 The etiology of ABP generally accepts common-channel doctrine and bile reflux. Common bile duct and pancreatic duct confluence into gallbladder ampulla, the two common openings in the duodenum, nipple sphincter stimulated edema, stones or gall bladder obstruction in the ampulla, duodenal sphincter stenosis, etc., pancreatic Bile duct emptying