Acute pancreatitis and a long common channel View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2006-09-06

AUTHORS

Terumi Kamisawa, Yuyang Tu, Hitoshi Nakajima, Naoto Egawa, Kouji Tsuruta, Atsutake Okamoto, Masakatsu Matsukawa

ABSTRACT

BackgroundAs sphincter action does not functionally affect the union in pancreaticobiliary maljunction (PBM), two-way regurgitation occurs. We investigated the features of acute pancreatitis associated with patients displaying a long common channel.MethodsWe reviewed 3210 endoscopic retrograde cholangiopancreatograms. PBM was diagnosed in 107 patients with a long common channel in which communication between the pancreatic and bile duct was maintained even during sphincter contraction. High confluence of pancreaticobiliary ducts (HCPBD) was diagnosed in 60 patients with a common channel ≧6 mm long in which communication between the two ducts was occluded with sphincter contraction.ResultsOf patients with PBM, four had acute pancreatitis. Etiology of acute pancreatitis in the two patients was suspected to involve impaction in a long common channel. Of patients with HCPBD, 17 displayed acute pancreatitis. Three patients had a history of excessive alcohol intake and 10 patients were associated with choledocholithiasis or cholecystitis. The remaining four patients had no history of them.ConclusionsAcute pancreatitis occurs in 13% of patients with a long common channel. Obstruction of a long common channel by stones easily induces bile flow into the pancreas. Even if no obstruction is present, biliopancreatic reflux induces acute pancreatitis in some patients. More... »

PAGES

365-369

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00261-006-9057-4

DOI

http://dx.doi.org/10.1007/s00261-006-9057-4

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1010926061

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/16955378


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