Anatomy, Histology, Embryology, Developmental Anomalies, and Pediatric Disorders of the Biliary Tract

Suchy, Frederick J.

doi:10.1016/b978-1-4160-6189-2.00062-7

Cited by 21 publications

(14 citation statements)

References 233 publications

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“…1,2 Type I refers to extrahepatic bile duct dilation and is also subcategorized into columnar (Ia), cystic (Ib), and spindle types (Ic). 1,3,4 Type II is a diverticulum in the extrahepatic duct; Type III is a choledochocele; and Type IV has two types: Iva, which is multiple cysts in the intra-and extrahepatic ducts, and IVb, which is multiple cysts in the extrahepatic duct only. Finally, Type V, also known as Caroli's disease, demonstrates multiple intrahepatic duct cysts.…”

Section: Resultsmentioning

confidence: 99%

“…Their ages ranged from 8 to 80 years, and there were 10 men and 21 women. Duct-graphic classification 1,3,4 showed 5 patients with columnar type (16.1%), 5 patients with cystic type (16.1%), and 21 patients with spindle type (67.7%) ( Fig. 1a) ( Table 3).…”

Section: Resultsmentioning

confidence: 99%

“…2b); and a Y type, in which there is a long common channel. 3,6 Of the 20 patients with APBDU, 9 had a P-B-type union (45%), 5 patients had B-P union (25%), and 6 patients had a Y-type union (30%). Of these 20 patients, 8 underwent an operation, which included 3 cholecystectomies, 1 cholecystectomy with lymphadenectomy for gallbladder cancer (Fig.…”

Section: Resultsmentioning

confidence: 99%

“…These form a web-like configuration composed of multiple connections with the gallbladder, cystic duct, and extrahepatic bile ducts. 3 These extra-anatomic connections are normally obliterated as the mature bile duct configuration is recannulated. 4 The pancreatic ducts are formed by the separate dorsal and ventral buds.…”

Section: Discussionmentioning

confidence: 99%

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Congenital pancreaticobiliary anomalies in an urban medical center in the United States

et al. 2020

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Background and Aim Pancreaticobiliary anomalies are rare and often present with cryptic signs and symptoms, thus delaying appropriate treatment. Methods Endoscopic retrograde cholangiopancreatography (ERCP) was used to define pancreaticobiliary anomalies. A retrospective review was performed of 5522 ERCPs conducted at a tertiary care center from 1972 to 2015. Results There were 249 (4.5%) patients with pancreaticobiliary anomalies, including 179 patients with pancreas divisum (PD), 44 patients with choledochal cyst (CC) (Todani's classification Type I: extrahepatic cyst 31, Type III; choledochocele 9, Type V: Caroli's disease 4), 20 patients with anomalous pancreaticobiliary ductal union (APDU), and 6 patients with other abnormalities. Of 179 patients with pancreas divisum, 8 (4.5%) required minor sphincterotomies for multiple unexplained acute pancreatitis. Of the 31, 15 (48%) Type I CC patients underwent an operation. In patients with Type III CC (choledochocele), seven of the nine were treated by endoscopic sphincterotomy, and two patients were treated by surgery. Four patients with Type V CC (Caroli's disease) were managed nonoperatively. Of the 20 patients with APDU, 8 (40%) required operative intervention. Six patients were found to have other anomalies: two with pancreas bifidum, one with a duplication of the gallbladder, one with a cystic duct diverticulum, one with an annular pancreas, and one with an abnormal cystic duct origin. These patients were treated based on their etiology. Conclusion Pancreaticobiliary anomalies are rare and can be defined using ERCP. The appreciation of these abnormalities is important for the proper diagnosis and treatment of these rare biliary and pancreatic disorders.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Congenital pancreaticobiliary anomalies in an urban medical center in the United States

et al. 2020

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“…Because the patient had separate biliary and pancreatic orifices, we felt that local invasion was unlikely in the absence of endoscopically visible contiguous spread. 10 The pathology from separate endoscopic biopsies of the orifices showed 2 distinct lesions. It is also unlikely that the IPNB was metastasized from the preexisting IPMN because of the separate orifices and the distinct pathology of the lesions.…”

Section: Discussionmentioning

confidence: 97%

Metachronous Intraductal Papillary Neoplasm of the Bile Duct and Intraductal Papillary Mucinous Neoplasm of the Pancreas in a Patient Diagnosed With Mucinous Adenocarcinoma

Brennan

Lee

2019

ACG Case Rep J

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Intraductal papillary neoplasm of the bile duct (IPNB) is a rare biliary tumor, which shares some radiologic and histologic similarities with pancreatic intraductal papillary mucinous neoplasm (IPMN). IPNB is a recognized precursor lesion of invasive adenocarcinoma. We present a case of metachronous IPNB and IPMN lesions in a patient with mucinous adenocarcinoma of the pancreas who presented with jaundice and abdominal pain. The patient was treated with surgery and adjuvant chemotherapy.

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Neonatal cholestasis with ductal paucity and steatosis

et al. 2013

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Anatomy, Histology, Embryology, Developmental Anomalies, and Pediatric Disorders of the Biliary Tract

Cited by 21 publications

References 233 publications

Congenital pancreaticobiliary anomalies in an urban medical center in the United States

Congenital pancreaticobiliary anomalies in an urban medical center in the United States

Metachronous Intraductal Papillary Neoplasm of the Bile Duct and Intraductal Papillary Mucinous Neoplasm of the Pancreas in a Patient Diagnosed With Mucinous Adenocarcinoma

Neonatal cholestasis with ductal paucity and steatosis

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