Peroral Endoscopic Cholangiography and Pancreatography

Sugawa, Choichi; Raouf, Razia; Bradley, Volker; Westreich, Melvyn; Lucas, Charles E.; Walt, Alexander J.

doi:10.1001/archsurg.1974.01360020093018

Cited by 13 publications

(3 citation statements)

References 21 publications

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“…PD is one of the most common pancreatic variations, which is produced by an embryological failure in the fusion and rotation of the ventral and dorsal pancreatic buds, which occurs between the sixth and seventh weeks of gestation, causing variations in the pancreas’s ductal system. It can be found in a complete (classical) form, in which the pancreatic secretion is drained through the accessory pancreatic duct, or an incomplete (partial) form, in which there is communication between the ducts (ventral and dorsal) [ 12 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 ] ( Figure 4 ). In pancreaticobiliary union, the main pancreatic duct joins together with the common bile duct, and they drain into the second portion of the duodenum, but variations can occur, which can be classified into three categories: V type, where the pancreatic duct and common bile duct enter the duodenal wall without a common duct; B–P type, where the common bile duct drains into the pancreatic duct main, forming a common duct; and P–B type, where the main pancreatic duct drains into the bile duct, forming a common duct [ 11 , 13 , 34 , 37 ].…”

Section: Resultsmentioning

confidence: 99%

“…Tree forest plots were carried out to see the prevalence of the variants of the ductal system of the pancreas, and a forest plot was also carried out to see the clinical correlation with PD. For the PD variant, 22 studies [ 7 , 12 , 14 , 16 , 29 , 34 , 36 , 40 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 57 , 61 , 64 , 65 ] presented a prevalence of 0.18 (0.15–0.21) and a heterogeneity of 99.52%. For the annular pancreas prevalence forest plot, 4 studies [ 11 , 15 , 24 , 66 ] were included, presenting a prevalence of 0.27 (0.01–0.5) and 97.18% heterogeneity.…”

Section: Resultsmentioning

confidence: 99%

“… Forest plot of prevalence of PD [ 7 , 12 , 14 , 16 , 29 , 34 , 36 , 40 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 57 , 61 , 64 , 65 ]. …”

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Incidence and Clinical Implications of Anatomical Variations in the Pancreas and Its Ductal System: A Systematic Review and Meta-Analysis

Orellana-Donoso,

Milos-Brandenberg,

Benavente-Urtubia

et al. 2023

Life

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Objective: This systematic review analyzes the anatomical variants in the pancreas and its ductal system to report on their association with pancreatic pathologies. Methods: We conducted a search of the MEDLINE, Scopus, Web of Science, Google Scholar, CINAHL, and LILACS databases from their inception to July 2023. The methodological quality was assessed with the Anatomical Quality Assessment (AQUA) tool. Finally, the pooled prevalence was estimated using a random effects model. Results: 55 studies were found that met the eligibility criteria. The overall prevalence of pancreas divisum (PD) was 18% (95% CI = 15–21%). The prevalence of PD associated with pancreatitis was 30% (95% CI = 1–61%). Conclusions: An anatomical variant of the pancreas such as PD may be the cause of bile duct obstruction, resulting in various clinical complications, such as pancreatitis. Hence, knowing this variant is extremely important for surgeons, especially for those who treat the gastroduodenal region.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Incidence and Clinical Implications of Anatomical Variations in the Pancreas and Its Ductal System: A Systematic Review and Meta-Analysis

Orellana-Donoso,

Milos-Brandenberg,

Benavente-Urtubia

et al. 2023

Life

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Pancreatic Pseudocysts Communicating With the Stomach

Sugawa¹,

Walt²,

Sankaran³

et al. 1977

Arch Surg

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Cancer of the pancreas. Detection and diagnosis

Cohn

1976

Cancer

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Since cancer of the pancreas is now the fourth most common cause of death from cancer in the United States, and since the signs and symptoms of this disease are such poor indicators of its presence, other more effective diagnostic methods must be utilized in an attempt to lower the mortality of pancreatic cancer. The newer studies which appear to hold some promise include endoscopy alone and in combination with pancreatography, selective and superselective angiography with or without pharmacologic assistance, and various forms of scanning. Resolution of some of the problems associated with the technique of biopsy and immunologic studies may make these studies of greater value. A clearer distinction between cancer arising in the pancreas itself from those lesions arising in the ampullary area will be of great value in clarifying both thinking and therapeutic approaches to the problem. Activation of the National Pancreatic Cancer Project and some other ongoing multi-institutional cooperative studies should do much to stimulate further advances in our knowledge about pancreatic cancer.

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Peroral Endoscopic Cholangiography and Pancreatography

Cited by 13 publications

References 21 publications

Incidence and Clinical Implications of Anatomical Variations in the Pancreas and Its Ductal System: A Systematic Review and Meta-Analysis

Incidence and Clinical Implications of Anatomical Variations in the Pancreas and Its Ductal System: A Systematic Review and Meta-Analysis

Pancreatic Pseudocysts Communicating With the Stomach

Cancer of the pancreas. Detection and diagnosis

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