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    "description": "La confrontation des diverses classifications publi\u00e9es et de nos dossiers ne permet pas de d\u00e9celer de diff\u00e9rences significatives. La pancr\u00e9atographie repr\u00e9sente donc un bon moyen d'appr\u00e9cier le type de ramescence de l'arborisation canalaire pancr\u00e9atique (fig. 8). Remarquons seulement que les quelques divergences observees croissent, ce qui est normal, avec la complexit\u00e9 de la classification choisie, et cela sans b\u00e9n\u00e9fice \u00e9vident. Les classifications \u00e9tablies sur pi\u00e8ces anatomiques ont \u00e9t\u00e9 de toute \u00e9vidence \u00e9tablies sur des sujets non choisis, donc a priori en grande majorit\u00e9 indemnes d'affection de la sph\u00e8re biliopancr\u00e9atique. Nos pancr\u00e9atographies ont bien entendu \u00e9t\u00e9 r\u00e9alis\u00e9es chez des malades suspects d'affection biliaire ou pancr\u00e9atique et nous avons seulement \u00e9cart\u00e9 les dossiers o\u00f9 les d\u00e9formations pathologiques rendaient ininterpr\u00e9tables les images obtenues. Or les r\u00e9sultats sont les m\u00eames. On peut donc en conclure que le mode de ramescence des canaux pancr\u00e9atiques n'a aucune influence sur la pathologie de cet organe. Il y a lieu toutefois d'apporter un tr\u00e8s important correctif \u00e0 cette conclusion et d'en retirer: -Les pancr\u00e9as annulaires qui sont responsables de troubles, soit pr\u00e9cocement, chez l'enfant, \u00e0 type de st\u00e9nose digestive haute rapidement \u00e9volutive, soit chez l'adulte. La rarele th\u00e9orique de cette affection (250 cas recens\u00e9s en 1972 par Lloyd-Jones) devra certainement \u00eatre r\u00e9vis\u00e9e \u00e0 la lumi\u00e8re de la pancr\u00e9atographie endoscopique.", 
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