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首页> 美国卫生研究院文献>Endoscopic Ultrasound >Cystic dystrophy of the duodenal wall: A rare but need-to-know disease
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Cystic dystrophy of the duodenal wall: A rare but need-to-know disease

机译：十二指肠壁囊性营养不良：一种罕见但需要了解的疾病

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Cystic dystrophy of the duodenal wall (CDDW) is a serious but uncommon complication of heterotopic pancreatic tissue characterized by increased duodenal wall thickness associated with intraparietal cystic lesions. It is mainly observed in middle-aged male patients with alcoholic chronic pancreatitis. Clinical symptoms are usually nonspecific and it is important to take them into account in patients with the abovementioned history. Imaging techniques have been useful for diagnosis, especially endoscopic ultrasound (EUS), to visualize cystic lesions in the wall. There is some controversy regarding treatment, because although good results have been obtained with surgical techniques, the recent emergence of EUS-guided drainages has also achieved acceptable results and they are suggested as a good alternative to traditional surgery. Following is our experience in the diagnosis and treatment of four patients with CDDWs; all of whom had a history of alcoholism and smoking, and were studied due to clinical signs of abdominal pain and vomiting. EUS was particularly useful in reaching the final diagnosis.
机译：十二指肠壁的囊性营养不良（CDDW）是一种异位胰腺组织的严重但不常见的并发症，其特征是十二指肠壁厚度增加与顶壁内囊性病变有关。它主要在男性酒精中毒慢性胰腺炎患者中观察到。临床症状通常是非特异性的，在有上述病史的患者中考虑这些症状很重要。成像技术已用于诊断，尤其是内窥镜超声（EUS），以可视化壁中的囊性病变。关于治疗存在一些争议，因为尽管通过外科手术技术已取得了良好的效果，但最近出现的EUS引导引流术也取得了可接受的结果，并被建议作为传统外科手术的良好替代方案。以下是我们在四名CDDW患者的诊断和治疗中的经验；他们都有酗酒和吸烟史，并且由于腹部疼痛和呕吐的临床体征进行了研究。超声内镜在最终诊断中特别有用。

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