Anomalous pancreaticobiliary junction and acute pancreatitis
- VernacularTitle:胰胆管合流异常与胰腺炎发病的关系
- Author:
Jiong CHEN
;
Rongnan XU
- Publication Type:Journal Article
- Keywords:
Pancreatitis;
Cholangiopancreatography, endoscopic retrograde;
Magnetic resonance imaging
- From:
Chinese Journal of General Surgery
2001;0(10):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the relationship between anomalous pancreaticobiliary junction(APBJ) without congenital choledochal cyst (CCC) and onset of acute pancreatitis. Methods Between Jan. 1995 and Jan. 2004, 72 cases of APBJ without CCC were identified by ERCP, MRCP, and intraoperative cholangiography(IOC).Relationship between acute pancreatitis and APBJ was analysed retrospectively. Result The overall incidence of APBJ in this series was 2.7%. Pancreaticobiliary junction anomaly was further substratified into as P-C type(the pancreatic duct joining the common bile duct)in 43 cases, and C-P type (the common bile duct joining the pancreatic duct)in 29 cases. The incidence of acute pancreatitis was 35% and that of gallbladder stone was 74%. Conclusion The incidence of acute pancreatitis in APBJ without CCC is high. In case of relapsing acute pancreatitis without known cause, APBJ should be suspected. Prophylactic cholecystectomy is effective to prevent acute pancreatitis.
