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Is biliary lithiasis associated with pancreatographic changes?

M Barthet1, C Affriat, J P Bernard

  • 1Service d'Hépatogastroentérologie, Hôpital Sainte Marguerite, Marseille, France.

Gut
|May 1, 1995
PubMed
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Biliary lithiasis (gallstones) does not cause chronic pancreatitis. Pancreatic duct abnormalities in patients with gallstones are primarily due to older age, not the stones themselves.

Area of Science:

  • Gastroenterology
  • Hepatobiliary System
  • Pancreatology

Background:

  • The link between gallstones (biliary lithiasis) and chronic pancreatitis is debated.
  • Previous studies suggested gallstones alter the pancreatic duct system.

Purpose of the Study:

  • To investigate the etiological role of biliary lithiasis in chronic pancreatitis.
  • To analyze pancreatographic changes in patients with and without gallstones.

Main Methods:

  • Retrospective analysis of endoscopic retrograde cholangiopancreatography (ERCP) in 165 patients with biliary lithiasis and 53 controls.
  • Measurement of pancreatic duct diameter, evaluation of duct regularity, stenosis, and presence of cysts.
  • Multivariate analysis of age, sex, gallstones, and choledochal stones.

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Main Results:

  • Pancreatographic abnormalities increased with age in both patients and controls.
  • No significant difference in pancreatographic features between patients with biliary lithiasis and controls.
  • Older age, not biliary lithiasis, was the sole significant predictor of pancreatographic abnormalities.

Conclusions:

  • Biliary lithiasis is not an independent etiological factor for chronic pancreatitis.
  • Observed pancreatic duct abnormalities in patients with gallstones are attributable to advanced age.