pancreatobiliary syndrome
Introduction
Introduction to pancreatic bile syndrome Pancreas Bile Syndrome (PancreasBileSyndrome) is also known as pancreatic malignant lesion syndrome, pancreatic head cancer obstructive jaundice syndrome. In 1888, Bard and Pic first described the intrinsic, so it was also called Bard-Pic syndrome. The etiology of this disease is not clear, and may have certain correlation with environmental factors, genetic factors, dietary factors, and mood and nutrition during pregnancy. basic knowledge The proportion of illness: 0.025% Susceptible people: no special people Mode of infection: non-infectious Complications: bloating, nausea and vomiting
Cause
Causes of pancreatic bile syndrome
Cause:
The etiology of this disease is not clear, and may have certain correlation with environmental factors, genetic factors, dietary factors, and mood and nutrition during pregnancy.
Pathogenesis:
The pathogenesis of this disease is not detailed, and the head of the pancreatic head cancer causes obstruction of the common bile duct. It is characterized by progressive painless jaundice and enlarged gallbladder, enlarged liver, and minimal bile in the intestine, resulting in grayish white stool. Often have symptoms of dyspepsia, upper abdomen or left upper abdomen pain, may have nausea, vomiting, bloating, weight loss. Sometimes it touches the swollen lymph nodes on the collarbone, and can also cause ascites and diabetes. Blood amylase is increased. In the late stage, there are many cachexias.
Prevention
Pancreatic bile syndrome prevention
The cause of this disease is related to the gastrointestinal motility dysfunction, so the prevention should be treated according to the cause. If DGR and BRG are caused after gastric surgery, it is very important to choose the procedure. Such as autonomic dysfunction, excessive smoking, drinking and other changes in the law of life caused by gastrointestinal hormone secretion disorder caused by DGR to strengthen physical exercise, avoid eating acidic foods and spicy and irritating food.
Complication
Complications of pancreatic bile syndrome Complications, bloating, nausea and vomiting
Often have symptoms of dyspepsia, upper abdomen or left upper abdomen pain, may have nausea, vomiting, abdominal distension, weight loss.
Symptom
Symptoms of pancreatic bile syndrome Common symptoms Nausea bloating, bile retention, ascites, diabetes, dyspepsia, liver enlargement, weight loss, jaundice
Pancreatic head cancer compression causes common bile duct obstruction, manifested as progressive painless jaundice and gallbladder enlargement, liver enlargement, intestinal bile is very small, resulting in gray stool, often dyspeptic symptoms, upper abdomen or left upper abdomen pain, Can have nausea, vomiting, bloating, weight loss, and sometimes touch the lymph nodes on the collarbone, ascites, diabetes, blood amylase, and cachexia in the late stage.
Examine
Examination of pancreatic bile syndrome
1. X-ray duodenal angiography, visible duodenal ring enlargement, displacement.
2. B-mode ultrasound and CT examination showed enlargement of the pancreas and lesions.
Diagnosis
Diagnosis and diagnosis of pancreatic bile syndrome
diagnosis
Combined with X-ray duodenal angiography, B-mode ultrasound and CT examination can make a diagnosis, ERCP examination can help the diagnosis of pancreatic tumor.
Differential diagnosis
Different from other causes of jaundice.
