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目的：总结十二指肠乳头旁憩室炎的上消化道特点并探讨其临床意义。方法：１４例手术切除且经病理证实的慢性十二指肠乳头旁憩室炎患者。对其上消化道双重对比造影或ＥＲＣＰ表现特点及其临床意义作一分析。结果：（１）十二指肠乳头旁憩室炎的造影表现特点为憩室内侧壁模糊（１１例），外侧壁与周围脏器粘连（７例），憩室本身及附近肠管激惹，移位（６例）。（２）１２例（８５．７％）同时合并胆囊炎、胆结石、胰腺炎。结论：（１）十二指肠乳头旁憩室炎，钡餐造影或ＥＲＣＰ检查可以对此作出明确的诊断。（２）十二指肠乳头旁憩室与胰胆系病变有一定的病因学联系
Objective: To summarize the characteristics of upper digestive tract of duodenal papillary diverticulitis and to explore its clinical significance. Methods: 14 patients with surgically resected and pathologically confirmed chronic duodenal papillomatosis. Analysis of its double contrast imaging or ERCP features of upper gastrointestinal tract and its clinical significance. Results: (1) Duodenal papillary parahippocampal synovial angiography was characterized by blurred inner wall of diverticulum (n = 11), peripheral wall adhesions with peripheral organs (n = 7), diverticulum itself and nearby bowel irritation and displacement 6 cases). (2) 12 cases (85.7%) also had cholecystitis, gallstones and pancreatitis. Conclusion: (1) Duodenal papillary diverticulitis, barium meal or ERCP examination can make a clear diagnosis. (2) duodenal papillary diverticulum and pancreatic biliary tract lesions have a certain etiology