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Biliary tract obstruction in chronic pancreatitis

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1 Biliary tract obstruction in chronic pancreatitis
Abdul A. Abdallah, Jake E.J. Krige, Philippus C. Bornman  HPB  Volume 9, Issue 6, Pages (December 2007) DOI: / Copyright © 2007 International Hepato-Pancreato-Biliary Association Terms and Conditions

2 Figure 1 CT scan showing chronic calcific pancreatitis. 1b. CT scan showing pancreatic calcification and common bile duct dilatation (arrow). HPB 2007 9, DOI: ( / ) Copyright © 2007 International Hepato-Pancreato-Biliary Association Terms and Conditions

3 Figure 2 Cholangiographic appearance of bile duct strictures (as identified by Caroli & Nora) [38]. Type I: Long retropancreatic stenosis. Type II: Dilatation of the main bile duct, stricture of the sphincter of oddi. Type III: Hourglass stricture. Type IV: Symptomatic of either a cyst (a), or a cancer (b and c). Type V: Cancer of the pancreas. HPB 2007 9, DOI: ( / ) Copyright © 2007 International Hepato-Pancreato-Biliary Association Terms and Conditions

4 Figure 3 ERC demonstrating a smooth tapering biliary stricture in a patient with chronic calcific pancreatitis. 3b. MRCP showing dilated extrahepatic bile duct with smooth tapering stricture. HPB 2007 9, DOI: ( / ) Copyright © 2007 International Hepato-Pancreato-Biliary Association Terms and Conditions

5 Figure 4 Management algorithm: biliary obstruction in chronic pancreatitis. HPB 2007 9, DOI: ( / ) Copyright © 2007 International Hepato-Pancreato-Biliary Association Terms and Conditions


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