Normal and anomalous pancreaticobiliary union in children and adolescents

Gastrointestinal Endoscopy
M GuelrudD Jaén

Abstract

The normal length of the pancreaticobiliary union (common channel) in the pediatric population is not known, nor is the frequency of anomalous pancreaticobiliary union and the extent to which it is associated with pancreaticobiliary disease. ERCP was performed on 136 patients younger than 1 year (group 1) and 128 older than 1 year (group 2). In group 1 the average length of the common channel was 1.8 +/- 0.61 mm with a maximal length of 3 mm (mean plus 2 standard deviations). In group 2 the average length and maximal length of the common channel increased with age. In the 1 to 3 year age range the average length was 2.2 +/- 0.47 mm with a maximal length of 2.7 mm, in the 4 to 6 year range it was 2.8 +/- 0.40 mm (3.6 mm maximal), in the 7 to 9 year range it was 3.2 +/- 0.43 mm (4.1 mm maximal), in the 10 to 12 year range it was 3.9 +/- 0.5 mm (4.4 mm maximal), and in the 13 to 15 year range it was 4.0 +/- 0.51 mm (5 mm maximal). The prevalence of the anomalous pancreaticobiliary union was 25% (66/264). In group 1 the anomaly was present in 4.4% (6 of 136) of patients, 1.3% (1/76) with neonatal hepatitis, 4.6% (3/44) with biliary atresia, and 100% (2/2) with choledochal cyst. In group 2 the anomaly was present in 46.9% (60/128) o...Continue Reading

References

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Citations

Oct 10, 2006·Pediatric Radiology·Séverine ChapuyPhilippe Petit
Jan 16, 2010·Pediatric Radiology·Mi-Jung LeeChoon-Sik Yoon
Feb 28, 2009·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Ascanio MartinoLuciano Mastroianni
Jul 19, 2003·Journal of Clinical Gastroenterology·Seiichi KatoKazuie Iinuma
Sep 10, 2003·Journal of Clinical Gastroenterology·Hyun Jun KimSung Koo Lee
Oct 2, 2009·Journal of Gastroenterology and Hepatology·Wei WangJian-Ming Zheng
Mar 17, 2010·Digestive Diseases and Sciences·K G SajithAmit Kumar Dutta
Feb 12, 2013·European Journal of Radiology·Cristina PhilpottSurekha Kumbla
Mar 11, 2015·Clinical Anatomy : Official Journal of the American Association of Clinical Anatomists & the British Association of Clinical Anatomists·Wan-Liang GuoJian Wang
Jan 31, 2002·Gastrointestinal Endoscopy·Tatsuya NomuraKatsuyoshi Hatakeyama
Jul 15, 2015·Pediatric Gastroenterology, Hepatology & Nutrition·Jae-Yeon HwangKyung Mo Kim
Aug 1, 2011·Korean Journal of Hepato-biliary-pancreatic Surgery·Sung Min JangYeon Ho Park
Mar 18, 2021·AJR. American Journal of Roentgenology·Andrew T TroutSudha A Anupindi

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