analysis of the progress of the etiology of acute gallstone pancreatitis（进展的分析急性胆源性胰腺炎的病因）.doc

Analysis of the progress of the etiology of acute gallstone pancreatitis [Abstract] acute gallstone pancreatitis (acute billiary pancreatitis, ABP is due to biliary tract disease induced pancreatitis causes include gallstones, liver bile duct stones, stones migrate the cholecystokinin force, cholestasis, cholesterol crystallization rate, bile components , biliary tract infection, endoscopic cholangiopancreatography and endoscopic sphincterotomy, surgical and anatomical factors. addition, ascariasis disease, liver, biliary tract bleeding, congenital choledochal cyst, peripapillary diverticulum, 12 refers to the intestinal side straps, the ampullary cancer-induced acute pancreatitis have been reported. [Keywords] acute gallstone pancreatitis etiology Acute gallstone pancreatitis (acute billiary pancreatitis, ABP) is induced pancreatitis due to biliary tract disease, gallstone is the main reason. ABP in more than half of the country accounts for about acute pancreatitis in the United States, accounting for 25% to 45% but the world around the cause of statistical results vary greatly, from about 3% to 75%, in addition to the differences caused by different ethnic, geographical and habits, does not rule out the existence of understanding of the concept of ABP bias and other subjective factors. now on in recent years ABP etiology research to improve the understanding of the etiology of the disease. 1 of gallstone pancreatitis 1.1 gallstones, common bile duct stones at home and abroad for gallstone pancreatitis diagnostic criteria no consensus [1]., Union Hospital, retrospective analysis of 184 cases of gallstone pancreatitis cases found within 48 h of admission serum ALTgt; = 100 U / L and TBILgt; = 23 mg / L (39.4 μmol / L, gallstone pancreatitis, positive predictive value of 93 and 81, respectively, with foreign research results are basically the same. Shanghai Sixth People’s Hospital scholars believe gallstone pancreatitis the definition should be: