The relationship of anatomic variation of pancreatic ductal system and pancreaticobiliary diseases.

Yonsei Medical Journal
Seungmin BangJae Bock Chung

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

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Citations

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
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Methods Mentioned

BETA
sedation

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