Origin of the long common channel based on pancreatographic findings in pancreaticobiliary maljunction T. Kamisawa, N. Egawa, H. Nakajima, K. Tsuruta,

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Presentation transcript:

Origin of the long common channel based on pancreatographic findings in pancreaticobiliary maljunction T. Kamisawa, N. Egawa, H. Nakajima, K. Tsuruta, A. Okamoto, M. Matsukawa Digestive and Liver Disease Volume 37, Issue 5, Pages 363-367 (May 2005) DOI: 10.1016/j.dld.2004.11.007 Copyright © 2005 Editrice Gastroenterologica Italiana S.r.l. Terms and Conditions

Fig. 1 An accessory pancreatic duct of the long type (long arrow) in PBM. Short arrow: first inferior branch. Digestive and Liver Disease 2005 37, 363-367DOI: (10.1016/j.dld.2004.11.007) Copyright © 2005 Editrice Gastroenterologica Italiana S.r.l. Terms and Conditions

Fig. 2 An accessory pancreatic duct of the short type (arrow) in PBM. Terminal accessory pancreatic duct showed cystic dilatation (Santorinicele). Common channel was also dilated. Digestive and Liver Disease 2005 37, 363-367DOI: (10.1016/j.dld.2004.11.007) Copyright © 2005 Editrice Gastroenterologica Italiana S.r.l. Terms and Conditions

Fig. 3 An accessory pancreatic duct of the ansa type (arrow) in PBM. Digestive and Liver Disease 2005 37, 363-367DOI: (10.1016/j.dld.2004.11.007) Copyright © 2005 Editrice Gastroenterologica Italiana S.r.l. Terms and Conditions

Fig. 4 Schema of the pancreatic duct of the normal pancreaticobiliary system showing the portions whose length was measured (left). Length of the main pancreatic duct from the major duodenal papilla to its first inferior branch (I′) and to its junction with the accessory pancreatic duct (V′). Schema of the pancreatic duct in PBM showing the portions whose length was measured (right). (C) Length of the common channel. (I) Length of the main pancreatic duct from the proximal portion of the common channel to the first inferior branch. (V) Length of the main pancreatic duct from the proximal portion of the common channel to its junction with the accessory pancreatic duct. Digestive and Liver Disease 2005 37, 363-367DOI: (10.1016/j.dld.2004.11.007) Copyright © 2005 Editrice Gastroenterologica Italiana S.r.l. Terms and Conditions

Fig. 5 Schema of Oi's theory of the embryological development of PBM. Ch: choledochus, Ct: terminal portion of choledochus, W1: duct of left lobe, W2: duct of right lobe, Dw: main pancreatic duct, G: gut. Digestive and Liver Disease 2005 37, 363-367DOI: (10.1016/j.dld.2004.11.007) Copyright © 2005 Editrice Gastroenterologica Italiana S.r.l. Terms and Conditions