Asian Pacific Journal of Cancer Prevention

  • 제17권9호
  • /
  • Pages.4363-4365
  • /
  • 2016
  • /
  • 1513-7368(pISSN)
  • /
  • 2476-762X(eISSN)
아시아태평양암예방학회 (Asian Pacific Journal of Cancer Prevention)
권호 표지

Pancreaticobiliary Ductal Anatomy in the Normal Population

  • 발행 : 2016.09.01
⟨ 이전 논문 다음 논문 ⟩

초록

Background: The complex anatomy of the pancreaticobiliary duct was crucial in management of pancreatic and biliary tract disease. Materials and Methods: Fresh specimens of pancreas, common bile duct (CBD), and duodenum were obtained en bloc from autopsies of 160 patients. Results: Ninety-three male and 67 female patients were included. The length of the pancreas ranged from 9.8-20 cm (mean, 16.20 +/- 1.70 cm). The intrapancreatic portion of the CBD showed patterns of three types: most common (85.30%) was type A, in which the anterior surface of the common bile duct was totally covered, while its posterior surface was partially covered, by the pancreatic parenchyma. On dissection of the accessory duct of Santorini, the accessory duct was traceable to the duodenal wall in 67.6%. The anatomy of the Wirsung-choledochus confluence was grouped into five different types. The common channel was found in 75.60% and its length varied from just a common junction (so-called "V-type" anatomy) to 15 mm (Y-type-b). Separate papillae (so-called "II-type") were found in 15.3% of specimens. Conclusions: Several important points regarding the anatomy of the pancreaticobiliary junction and pancreatic ductal system were illustrated in this study.

키워드

참고문헌

  1. Alkhatib AA, Hilden K, Adler DG (2012). Incidental pancreatography via ERCP in patients with anomalous pancreaticobiliary junction does not result in pancreatitis in a North American population. Dig Dis Sci, 57, 1064-8. https://doi.org/10.1007/s10620-011-1964-8
  2. Beltran MA (2012). Current knowledge on pancreaticobiliary reflux in normal pancreaticobiliary junction. Int J Surg, 10, 190-3. https://doi.org/10.1016/j.ijsu.2012.02.009
  3. Deng YL, Cheng NS, Lin YX, et al (2011). Relationship between pancreaticobiliary maljunction and gallbladder carcinoma: meta-analysis. Hepatobiliary Pancreat Dis Int, 10, 570-80. https://doi.org/10.1016/S1499-3872(11)60098-2
  4. Kamisawa T, Amemiya K, Tu Y, et al (2002). Clinical significance of a long common channel. Pancreatol, 2, 122-8. https://doi.org/10.1159/000055902
  5. Kamisawa T, Egawa N, Nakajima H, et al (2003). Clinical significance of the accessory pancreatic duct. Hepatogastroenterol, 50, 2196-8.
  6. Miyamoto R, Oshiro Y, Hashimoto S, et al (2014). Threedimensional imaging identified the accessory bile duct in a patient with cholangiocarcinoma. World J Gastroenterol, 20, 11451-5. https://doi.org/10.3748/wjg.v20.i32.11451
  7. Ogura Y, Matsuda S, Usui M, et al (1999). Effect of pancreatic juice reflux into biliary tract on N-nitrosobis(2-oxopropyl) amine (BOP)-induced biliary carcinogenesis in Syrian hamsters. Dig Dis Sci, 44, 79-86. https://doi.org/10.1023/A:1026602216846
  8. Skandalakis LJ CG, Skandalakis JE 1997. Mastery of surgery, Boston
  9. Takuma K, Kamisawa T, Hara S, et al (2012). Etiology of recurrent acute pancreatitis, with special emphasis on pancreaticobiliary malformation. Adv Med Sci, 57, 244-50. https://doi.org/10.2478/v10039-012-0041-7
  10. Tanaka M (2002). [Current strategy to cure pancreatic cancer]. Nihon Geka Gakkai Zasshi, 103, 290-3.
  11. Testoni PA, Mariani A, Mangiavillano B, et al (2006). Main pancreatic duct, common bile duct and sphincter of Oddi structure visualized by optical coherence tomography: An ex vivo study compared with histology. Dig Liver Dis, 38, 409-14. https://doi.org/10.1016/j.dld.2006.02.014
  12. Toouli J, Craig A (2000). Sphincter of Oddi function and dysfunction. Can J Gastroenterol, 14, 411-9. https://doi.org/10.1155/2000/313601
  13. Wang HP, Wu MS, Lin CC, et al (1998). Pancreaticobiliary diseases associated with anomalous pancreaticobiliary ductal union. Gastrointest Endosc, 48, 184-9. https://doi.org/10.1016/S0016-5107(98)70161-0
  14. Wilasrusmee C, Pongchairerks P (1999). Pancreaticobiliary ductal anatomy in Thai people. J Hepatobiliary Pancreat Surg, 6, 79-85. https://doi.org/10.1007/s005340050087
  15. Williams NE, Gundara JS, Hugh TJ, et al (2012). Many faces of pancreaticobiliary reflux. ANZ J Surg, 82, 403-7. https://doi.org/10.1111/j.1445-2197.2012.06076.x
  16. Yoshida N, Esaki M, Kishi Y, et al (2013). Bile duct carcinoma involving the common channel associated with pancreaticobiliary maljunction shows an extension pattern similar to ductal carcinoma of the pancreas. Pathol Int, 63, 415-8. https://doi.org/10.1111/pin.12085