Endoscopic therapy in anomalous pancreatobiliary duct junction

Endoscopic Therapy for Patients With Pancreaticobiliary Maljunction: A Follow-up Study

“…Similarly, Guelrud et al [3] showed that following a mean 26.4 months in 9 PBM patients who underwent ERCP therapy, eight had excellent results. Subsequently, Samavedy et al [4] reported 15 PBM patients over 10-year period, thirteen of them benefited from ERCP therapy during 3 years follow-up.…”

“…Oncotarget 44861 www.impactjournals.com/oncotarget Nonetheless, Data on the experience of ERCP in the management of PBM are limited to small series [2][3][4][5][6][7][8][9][10]. Two studies speculated that endoscopic sphincterotomy (EST) was less effective in those patients with undilated common channel, but their sample size was quite small [2,7].…”

Endoscopic Retrograde Cholangiopancreatography and Manometry Findings in 1,241 Idiopathic Pancreatitis Patients

“…Other congenital abnormalities of the pancreatobiliary tract such as periampullary diverticulum [27], choledochocal cysts [28], anomalous pancreatobiliary junction [29], and annular pancreas [30] are claimed to be associated with recurrent acute pancreatitis or chronic pancreatitis. Data from case series suggest that biliary or dual sphincterotomy may offer long-term benefit in these disorders.…”

ERCP in acute and recurrent acute pancreatitis

“…Anomalous pancreatobiliary union (Figure 20.8) may present with or without a choledochal cyst; this is an important consideration of unexplained pancreatitis in children. Endoscopic papillotomy may attenuate further episodes of AP, although the long-term risk of cholangiocarcinoma usually prompts cholecystectomy and bile duct resection at a young age [93,94].…”