PMID: 590702Jan 1, 1977

Congenital dilatation of the biliary tract; new classification and study with particular reference to anomalous arrangement of the pancreaticobiliary ducts

Gastroenterologia Japonica
N KomiY Kashiwagi

Abstract

Yotsuyanagi's theory is often quoted in the discussion of the etiology of congenital dilatation of the biliary duct (CDBD), but there has been no established etiology as yet. With particular reference to the relationship between anomalous arrangement of the pancreaticobiliary ducts and CDBD, Babbit collected 19 cases of CDBD. The authors also observed the anomalous arrangement in 10 of 24 cases of CDBD (42 percent). Analysis of 570 CDBD cases collected in Japan disclosed that the anomalous arrangement was present in 183 of them (33 percent), dilation of the intraheptic bile ducts in 236 (42 percent), and narrowing and malformation of the bile duct in the hepatic hilum in 58 (10 percent). The authors have proposed a new classification, including these morphologic anomalies of the whole pancreaticobiliary ductal system. This classification provides useful indices in selecting the surgical procedures. The effect of the anomalous arrangement was pathophysiologically studied on dogs. The static internal pressure of the dog pancreatic duct was 14.6 + or - 5.5 cm H2O, and that of the dog bile duct, 8.9 + or - 3.4 cm H2O. Puppies were then operated on by shunting the pancreaticobiliary ducts. As the result, the biliary tract was devast...Continue Reading

References

Nov 1, 1975·Annals of Surgery·P D Flanigan
Sep 1, 1973·The American Journal of Roentgenology, Radium Therapy, and Nuclear Medicine·D P BabbittA R Clemett

Citations

Mar 1, 1983·Indian Journal of Pediatrics·G R Prasad, I C Pathak
Jun 24, 2017·Journal of Hepato-biliary-pancreatic Sciences·Naoto UrushiharaHisami Ando
Jan 1, 1992·The Australian and New Zealand Journal of Surgery·A P BarkerD J Moore
Jan 1, 1989·Journal of Gastroenterology and Hepatology·N KomiK Kunitomo
Apr 10, 2003·Langenbeck's Archives of Surgery·Yoshiro MatsumotoKohichi Suda
Jun 23, 2012·Journal of Gastroenterology·Terumi KamisawaJapanese Study Group on Pancreaticobiliary Maljunction
Apr 1, 1996·Pediatric Surgery International·M ItoT Oka
Jun 1, 1984·Postgraduate Medical Journal·R WaldronB Murphy
Aug 19, 2008·Pathology International·Hiroyuki TadokoroBunsei Nobukawa
Aug 16, 2016·Abdominal Radiology·Mark E SharafinskiGregory Vorona
Jan 18, 2020·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Ayako OnoKaori Togashi
Sep 14, 2016·World Journal of Surgery·Emilia RagotWorking Group of the French Surgical Association
Sep 1, 1983·The Japanese Journal of Surgery·H Yano, H Matsumoto

Related Concepts

Teens
Metazoa
Bile Duct Structure
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