Observation of regurgitation of pancreatic juice into the bile duct by pancreatography via the minor duodenal papilla in pancreaticobiliary maljunction

DOI 3 Citations 3 References
  • KAMISAWA Terumi
    Department of I nternal Medicine, Tokyo Metropolitan Komagome Hospital (Tokyo)
  • AMEMIYA Kozue
    Department of I nternal Medicine, Tokyo Metropolitan Komagome Hospital (Tokyo)
  • TU Yuyang
    Department of I nternal Medicine, Tokyo Metropolitan Komagome Hospital (Tokyo)
  • EGAWA Naoto
    Department of I nternal Medicine, Tokyo Metropolitan Komagome Hospital (Tokyo)
  • SAKAKI Nobuhiro
    Department of I nternal Medicine, Tokyo Metropolitan Komagome Hospital (Tokyo)
  • OKAMOTO Atsutake
    Department of Surgery, Tokyo Metropolitan Komagome Hospital (Tokyo)
  • MATSUKAWA Masakatsu
    Department of Internal Medicine, Hirosaki City Hospital (Hirosaki)

Bibliographic Information

Other Title
  • 膵・胆管合流異常例における膵液の胆道内逆流現象を副膵管造影により観察した1例

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Abstract

Pancreaticobiliary maljunction is a congenital anomaly with a union of the pancreatic and biliary ducts that is located outside the duodenal wall. Pancreatic juice refluxes into the bile duct because the action of the sphincter muscle (Oddi) does not functionally affect the union. We proved roentogenographically this regurgitation by pancreatography via the minor duodenal papilla. Contrast medium injected into the accessory pancreatic duct from the minor duodenal papilla, moved through the main pancreatic duct into the bile duct. The middle and inferior bile duct was opacified, though the contrast was not excreted into the duodenum via the major duodenal papi lla. Pancreatography via the major duodenal papilla situated in the horizontal portion of the duodenum revealed the pancreaticobiliary maljunction with 2 cm-common channel in length.<BR>It is suggested that regurgitation of the pancreatic juice into the bile duct easily occurs in pancreaticobiliary maljunction.

Journal

  • Tando

    Tando 16 (1), 50-52, 2002

    Japan Biliary Association

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