Abstract
The aims of this study were to identify the morphological diversities and anatomical variations of pancreatic ductal system and to define the relationships between pancreatic ductal systems, pancreaticobiliary diseases, and procedure- related complications, including post-ERCP pancreatitis. This study included 582 patients in whom both pancreatic duct (PD) and common bile duct were clearly visible by ERCP. PD systems were categorized into four types according to the relationship between common bile duct and PD. In types A and B, Wirsung duct formed the main PD. In type C, Wirsung duct did not form the main PD. If PD system did not fall into any of these three types, it was categorized as type D. The distribution of types among pancreatic ducts examined was as follows: type A: 491 cases (84.4%), type B: 56 cases (9.6%), type C: 20 cases (3.4%), and type D: 15 cases (2.6%). The anomalous anatomic variations of PD systems were divided into migration, fusion, and duplication anomalies. PD anomalies were noted in 51 patients, of which 19 (3.3%) were fusion anomalies (12 complete pancreas divisum, 7 incomplete pancreas divisum), and 32 (5.5%) were duplication anomalies (5 number variations, 27 form variations). No significant relatio...Continue Reading
References
Mar 1, 1977·Radiology·J P Belber, K Bill
Nov 1, 1977·American Journal of Surgery·J A Gregg
Mar 1, 1991·Endoscopy·P BurtinJ Boyer
Mar 1, 1991·Endoscopy·D L Carr-Locke
May 1, 1991·Gastrointestinal Endoscopy·P B CottonN Nickl
May 1, 1990·Pancreas·J P BernardH Sarles
Jan 1, 1986·Pancreas·G LaFerlaW R Murray
Jan 1, 1987·American Journal of Surgery·C SugawaH Masuyama
Dec 1, 1986·Gastrointestinal Endoscopy·Z TulassayI E Farkas
Mar 1, 1984·Jinrui idengaku zasshi. The Japanese journal of human genetics·T Tsuruta, Y Ogihara
Jan 1, 1983·Acta Radiologica: Diagnosis·B F SigfússonC G Lindström
Feb 1, 1980·Gut·P B Cotton
Feb 1, 1995·International Journal of Pancreatology : Official Journal of the International Association of Pancreatology·G UomoP G Rabitti
Sep 26, 1996·The New England Journal of Medicine·M L FreemanA M Pheley
Nov 5, 1997·Gastrointestinal Endoscopy·G K JohnsonO Cass
Jun 10, 1998·European Journal of Gastroenterology & Hepatology·R J Dickinson, S Davies
Jul 31, 1998·Gastrointestinal Endoscopy·S LoperfidoA Fratton
Apr 5, 2002·Endoscopy·E ChristoforidisD Betsis
Jun 18, 2003·European Journal of Gastroenterology & Hepatology·Nyree GriffinIan J Beckingham
Dec 1, 1955·A.M.A. Archives of Surgery·W P KLEITSCH
Jan 1, 1961·The Anatomical Record·W DAWSON, J LANGMAN
Dec 4, 2003·Gastrointestinal Endoscopy·Michael HünerbeinPeter M Schlag
Dec 1, 1950·Annals of Surgery·M M RAVITCH, A C WOODS
Jul 9, 2004·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·Jayant A TalwalkarKeith D Lindor
Jan 1, 1950·Acta Anatomica·E MILLBOURN
Citations
Jul 3, 2009·Langenbeck's Archives of Surgery·Ulrich StegerNicolas Schlegel
Mar 6, 2009·Journal of Hepato-biliary-pancreatic Surgery·Yoshitsugu TajimaTakashi Kanematsu
Dec 20, 2011·Indian Journal of Gastroenterology : Official Journal of the Indian Society of Gastroenterology·Ananda Rani, Sumathi Latha
Dec 11, 2008·Pancreas·Stanislaw HacZbigniew Sledzinski
Jun 2, 2012·PloS One·Wataru GonoiKuni Ohtomo
Feb 26, 2011·Journal of Perinatology : Official Journal of the California Perinatal Association·T E Herman, M J Siegel
May 21, 2010·Pancreatology : Official Journal of the International Association of Pancreatology (IAP) ... [et Al.]·Stanisław A HacZbigniew Sledzinski
Dec 20, 2012·Case Reports in Medicine·K VasiliadisC Makridis
Oct 8, 2013·Clinical Radiology·A AroraS K Sarin
Dec 27, 2007·Yonsei Medical Journal·Mi-Suk ParkKi Whang Kim
May 20, 2017·Surgical and Radiologic Anatomy : SRA·Harsimran Jit SinghDaisy Sahni
Apr 5, 2019·Abdominal Radiology·Wataru GonoiOsamu Abe
May 13, 2020·Scandinavian Journal of Gastroenterology·Ana DugicMiroslav Vujasinovic
Oct 3, 2019·Clinical Anatomy : Official Journal of the American Association of Clinical Anatomists & the British Association of Clinical Anatomists·Matteo RenzulliRita Golfieri
Apr 8, 2020·Annals of Gastroenterological Surgery·Jun IshidaTakumi Fukumoto
Sep 22, 2020·Curēus·Ademola S Ojo
Apr 26, 2021·Cellular and Molecular Gastroenterology and Hepatology·Melinda WangAditi Bhargava
Aug 26, 2021·Surgical Case Reports·Naoto TakahashiAkira Sasaki