Back to Search
Start Over
Pancreatico-choledochal junction and pancreatic duct system morphology in acute biliary pancreatitis. A prospective study with early ERCP.
- Source :
-
International journal of pancreatology : official journal of the International Association of Pancreatology [Int J Pancreatol] 1993 Jun; Vol. 13 (3), pp. 187-91. - Publication Year :
- 1993
-
Abstract
- Sixty-two patients with acute biliary pancreatitis (ABP) were prospectively studied by early ERCP in order to evaluate the morphology of the pancreatico-choledochal junction and the pancreatic duct system (PDS) and compared with 62 control patients. Abnormalities of the ampulla of Vater were observed in 66.1% (33.5% in controls; p = 0.001). A common channel for the common bile duct and the main pancreatic duct (MPD) were found in 70.9% of ABP cases; the length of common channel was < or = 5 mm in 79.5% and > 5 mm in 20.4%; the angle between CBD and MPD was < or = 30 degrees in 88.6% and > 30 degrees in 11.4% (no difference compared to the control group). A patent Santorini's duct were found in 37% of ABP cases vs 38.7% in controls (NS); there was no significant difference in patency of the duct of Santorini between edematous and necrotizing cases of ABP. Morphological changes of the PDS were found in all patients with necrotizing (22 cases) and in 15 out of 40 patients with edematous ABP (p < 0.0001).
- Subjects :
- Acute Disease
Adolescent
Adult
Aged
Aged, 80 and over
Biliary Tract Diseases diagnostic imaging
Cholangiopancreatography, Endoscopic Retrograde
Common Bile Duct diagnostic imaging
Humans
Middle Aged
Pancreas diagnostic imaging
Pancreatic Ducts diagnostic imaging
Pancreatitis diagnostic imaging
Prospective Studies
Biliary Tract Diseases pathology
Common Bile Duct pathology
Pancreas pathology
Pancreatic Ducts pathology
Pancreatitis pathology
Subjects
Details
- Language :
- English
- ISSN :
- 0169-4197
- Volume :
- 13
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- International journal of pancreatology : official journal of the International Association of Pancreatology
- Publication Type :
- Academic Journal
- Accession number :
- 8370980
- Full Text :
- https://doi.org/10.1007/BF02924439