Normal structure, variations, and anomalies of the pancreaticobiliary ducts of Koreans: A nationwide cooperative prospective study

Kim, Hong Ja; Kim, Myung Hwan; Lee, Sung Koo; Seo, Dong Wan; Kim, Yong Tae; Lee, Dong Ki; Song, Si Young; Roe, Im Hwan; Kim, Jin Hong; Chung, Jae Bock; Kim, Chang Duck; Shim, Chan Sup; Yoon, Yong Bum; Yang, Ung Suk; Kang, Jin Kyung; Min, Young Il

doi:10.1067/mge.2002.124635

Cited by 79 publications

(52 citation statements)

References 25 publications

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“…More than 33% of all reported cases are in Japan, for which Miyano and Yamataka [7] have reported an incidence as high as 1 case per 1,000 population. According to the large multicenter study in Korea [5], the incidence of choledochal cysts is 0.3%, and the estimated incidence of anomalous pancreatobiliary ductal union, thought to be the etiology of choledochal cysts, is 4.1%. We estimate that the incidence of choledochal cyst in East Asia is similarly higher than that of Japan.…”

Section: Discussionmentioning

confidence: 99%

Totally laparoscopic management of choledochal cysts using a four-hole method

et al. 2006

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Section: Discussionmentioning

confidence: 99%

Totally laparoscopic management of choledochal cysts using a four-hole method

et al. 2006

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“…While the exact incidences in various ethnic groups are unknown, there are often reports from Japan, China, and South Korea, and the incidence of congenital biliary dilatation appears to be higher in Orientals than in Occidentals [16]. Approximately 1 in every 1,000 persons is affected by this disease in Japan [17], and the incidences of congenital biliary dilatation and PBM are 0.3 and 4.1 %, respectively, in South Korea [18]. In Western countries, it is reported that congenital biliary dilatation occurs in 1 of every 50,000-150,000 individuals, and in 1 neonate in 2 million births [19][20][21].…”

Section: Commentsmentioning

confidence: 99%

Japanese clinical practice guidelines for pancreaticobiliary maljunction

et al. 2012

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There have been no clinical guidelines for the management of pancreaticobiliary maljunction (PBM). The Japanese Study Group on Pancreaticobiliary Maljunction (JSPBM) has proposed to establish clinical practice guidelines on how to deal with PBM, with the support of the Japan Biliary Association (JBA). Because the body of evidence-based literature is relatively small, we decided to create guidelines based on the consensus of experts, using the medical literature for reference. A total of 46 clinical questions (CQs) were considered by the members of the editorial committee responsible for the guidelines. The CQs covered distinct aspects of PBM: (1) Concepts and Pathophysiology (10 CQs); (2) Diagnosis (10 CQs); (3) Pancreatobiliary complications (9 CQs); and (4) Treatments and prognosis (17 CQs). Statements and comments for each CQ were prepared by the guidelines committee members and collaborating partners. The CQs were completed after review by members of the editorial committee, meetings of this committee, public comments on the homepages of the JSPBM and the JBA, public hearings, and assessment and approval by the guidelines evaluation board. PBM includes cases where the bile duct is dilated (PBM with biliary dilatation) and those in which it is not (PBM without biliary dilatation). In these guidelines, PBM with biliary dilatation is defined as being identical to congenital biliary dilatation of Todani type I (except for type Ib) and type IV-A, both of which are accompanied by PBM in almost all cases. These guidelines are created to provide assistance in the clinical practice of PBM management; their contents focus on clinical utility, and they include general information on PBM to make this disease more widely recognized.

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“…In Korea, 10,243 ERCP cases were studied in a prospective way showed the cystic duct variations in 16.9% of the patients. Low union with the common hepatic duct (CHD) found in 9% of cases and a spiral passing to the common hepatic duct either anteriorly or posteriorly in 7.9 % of patients (Kim et al 2002). Also, we found long cystic duct in 3 (1.08 %) of cases, ( Table 2).…”

Section: Discussionmentioning

confidence: 60%

Anatomical variations of the hepatobiliary system in Sudanese patients undergoing endoscopic retrograde cholangiopancreatography (ERCP)

Doush¹,

A-Galil

Ibrahim

2017

IJM

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Background: The meticulous identification of the hepatobiliary tree system normal anatomy during surgical operations is crucial in iatrogenic injury prevention. Equally important, an understanding of the congenital variations of biliary and vascular anatomy, as the literature abounds with reports of specific anatomical variations, and their surgical implications. Aim: This study aimed to study the presence of anatomical variations within the hepatobiliary system in Sudanese population undergoing endoscopic retrograde cholangiopancreatography (ERCP). Patients and methods:The records of patients undergoing ERCP in Soba University Hospital during 2004 to 2008 were analyzed. There were 277 Sudanese patients who had complained of right hypochondrial abdominal pain & history of jaundice (obstructive jaundice) that underwent ERCP were included within this study. The exclusion criteria included the following: Sudanese patients in whom ERCP failed or patients who had advanced hepatobiliary disease like cancers, strictures either cancerous or iatrogenic, fistula and iatrogenic biliary leak. Results: The analysis of 277 Sudanese patients undergoing ERCP of the hepatobiliary system showed the following results regarding the variations: The choledochal cyst type one (fusiform type) was present in 3 (1.08%) patients; very low cystic duct insertion (parallel) was present in 1 (0.36%) patient and long cystic duct was present in 3 (1.08%) patients. The ampulla of Vater size variations occurred as A) Normal in 158 (57%) patient, B) Small in 56 (20.2%) patients, C) Large in 29 (10.5%) patients, D) Periampullary diverticula in 4 (1.4%) patients and E) unclassified in 30 (10.8%) patients. Other forms of congenital anomalies were not found. Conclusion: The using of endoscopic retrograde cholangiopancreatography (ERCP) is a reliable radiological method for depicting congenital anomalies of the hepatobiliary system, but it is an invasive procedure.

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Normal structure, variations, and anomalies of the pancreaticobiliary ducts of Koreans: A nationwide cooperative prospective study

Cited by 79 publications

References 25 publications

Totally laparoscopic management of choledochal cysts using a four-hole method

Totally laparoscopic management of choledochal cysts using a four-hole method

Japanese clinical practice guidelines for pancreaticobiliary maljunction

Anatomical variations of the hepatobiliary system in Sudanese patients undergoing endoscopic retrograde cholangiopancreatography (ERCP)

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