~Teachingcenter的醫學筆記~

慢性胰臟炎開刀的適應症不包括下列何者?

A. Left side portal hypertension

B. Wadsworth syndrome

C. Pseudocsyt

D. Pancreatic carcinoma

E. All of the above

Ans: E.

胰臟炎的手術適應症

Surgical indications for pancreatitis

1. Persisting pain (無法緩解的持續疼痛)

※疼痛為最主要的手術適應症！

2. Severe malabsorption (嚴重消化吸收不良)

3. Suspicion of malignancy (懷疑惡性變化)

4. Multiple relapses (多次發生)

5. Pseudocyst (胰臟偽囊腫)

6. Segmental portal hypertension (門脈高壓)

7. Biliary obstruction (膽道阻塞，又名Wadsworth syndrome)

8. Pancreatic duct dilatation > 7mm (胰管擴張)

9. Pancreatic duct stenosis (胰管閉鎖)

10. Pancreatic fistula (廔管)

11. Pancreatic ascites (腹水)