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anomalous pancreaticobiliary junction: image analysis and treatment principles

Hepatobiliary & Pancreatic Diseases International 2004年第1期3卷 136-139页

作者： Ze-Li Yu, Li-Jun Zhang, Jian-Zhu Fu, Jie Li, Qing-Yu Zhang and Fou-Lai Chen Beijing, China Department of General Surgery, Beijing Tongren Hospital, Capital University of Medical Sciences, Beijing 100730, China Department of General Surgery Beijing Tongren Hospital Capital University of Medical Sciences Beijing 100730 China. zhlj1968@***

BACKGROUND: anomalous pancreaticobiliary junction is often associated with biliary tract carcinoma and acute pan- creatitis. We assessed the value of image analysis in the diag- nosis of patients with anomalous pancreaticobiliary junction (APBJ) and the principles for the treatment of APBJ. METHODS: Sixty-four patients with APBJ were subjected to ultrasound imaging, endoscopic retrograde cholangio- pancreatography (ERCP) and magnetic resonance cholan- giopancreatography (MRCP) before surgery. The diagnos- tic accuracy of image analysis and their surgical outcomes were evaluated retrospectively. RESULTS: On ERCP and MRCP, the length of the com- mon channel was calculated to be 15 mm or longer in all patients, and the angle of the junction was more than 75° in 49 (76.6%) of the 64 patients. Of the 64 patients, 28 were defined of pancreatic duct type (P-C) (28/64, 43.75%), 32 bile duct type (C-P) (32/64, 50%), and 4 common chan- nel type (4/64, 6.25%). CONCLUSIONS: Patients with APBJ are often associated with biliary tract and pancreatic diseases, and early detec- tion and correct surgical treatment could avoid serious complications. ERCP and MRCP are accurate in the diag- nosis of APBJ.

关键词： anomalous pancreaticobiliary junction image examination surgical treatment

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