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題 名 | 膽囊摘除術和大腸癌之關係 |
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作 者 | 陳振鵬; | 書刊名 | 中華民國外科醫學會雜誌 |
卷 期 | 16:4 1983.12[民72.12] |
頁 次 | 頁339-342 |
分類號 | 416.247 |
關鍵詞 | 膽囊摘除術; 大腸癌; |
語 文 | 中文(Chinese) |
中文摘要 | 膽囊摘除術後病人膽汁分泌量、成份、腸肝回流次數以及動力學上的改變,均異於常人。尤其是續發性膽鹽比率的增高,更具有重大的意義。 繼發性膽鹽在動物實戰上,已是公認的致癌物。由於這件事實,膽囊摘除術和大腸癌二者之間的關係,逐漸引起人們的注意。到目前為止,這種因果關係,仍是議論紛紛,莫衷一是。 榮民總醫院,從1977年至1981年間,1061個大腸癌病例中,有26例在大腸癌發現之前,已做過膽囊摘除術,期間由1年至24年不等,平均是7.6年。其中男性18例,女性8例,發生率為2.4%。大腸癌醫生部位以乙狀結腸及直腸最多,共22例。本文僅就兩者間的關係,做一回顧性的探討及報告。 |
英文摘要 | Althought colon cancer and gall stone are common in Western countries, the incidence in Taiwan has been increasing recently. Changes in the composition and kinetics of bile metabolism are known to be caused by cholecystectomy, which includes the constant alkaline bile flow and increased secondary bile salts. In animal models, the carcinogenic potency of secondary bile acids has been well recognized. A retrospective study involving 1061 cases of large bowel cancer grouped by subsite (ascending colon, transverse colon, descending colon, sigmoid colon and rectum), sex and age identified in VGH, Taipei from 1977 to 1981 has been completed recently. Of the 1061 patients with colon cancer, 26 cases (18 males, 8 females), or 2.4%, has undergone previous cholecystectomy. Their age ranged from 41 to 87 years, with 59.8 years in an average. The time between cholecystectomy and the diagnosis of colon cancer varied from 1 to 24 years, with an average of 7.6 years. The relationship between prior cholecystectomy and colon cancer is then discussed. The incidence of left-side colonic cancer (22/26, 85%) seems higher than the outcome of other reports. It is possible that carcinogenic breakdown products of bile salts are most concentrated in the distal portion of the large bowel. |
本系統中英文摘要資訊取自各篇刊載內容。