Therapeutic Strategy for PBM Without Biliary Dilatation View Full Text


Ontology type: schema:Chapter     


Chapter Info

DATE

2018-06-06

AUTHORS

Tsukasa Takayashiki , Hideyuki Yoshitomi , Katsunori Furukawa , Masayuki Ohtsuka

ABSTRACT

Pancreaticobiliary maljunction (PBM) describes both cases in which the extrahepatic bile duct is dilated (PBM with biliary dilatation, congenital biliary dilatation) and those in which it is not dilated (PBM without biliary dilatation). A recent detailed report of extrahepatic bile duct measurements using ultrasonography has largely defined a non-dilated bile duct. According to the report, the maximum inner diameter of an extrahepatic bile duct increases according to age. Once the diagnosis of PBM is established, immediate prophylactic surgical treatment is recommended before the onset of malignant changes, even in patients without biliary dilatation. Cholecystectomy and resection of the extrahepatic bile duct, so-called flow-diversion surgery, are established standard surgical methods for PBM with biliary dilatation. As a therapeutic strategy for PBM without biliary dilatation, prophylactic cholecystectomy is also strongly recommended as standard surgical treatment for prevention of gallbladder cancer. However, whether additional prophylactic resection of the extrahepatic bile duct, as in flow-diversion surgery, should be performed for PBM without biliary dilatation remains controversial. Further investigation and surveillance are needed to clarify the appropriate surgical strategy for PBM without biliary dilatation. More... »

PAGES

227-232

Book

TITLE

Pancreaticobiliary Maljunction and Congenital Biliary Dilatation

ISBN

978-981-10-8653-3
978-981-10-8654-0

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/978-981-10-8654-0_27

DOI

http://dx.doi.org/10.1007/978-981-10-8654-0_27

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1104410534


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