Pancreaticobiliary diseases associated with anomalous pancreaticobiliary ductal union

Wang, Hsiu–Po; Wu, Ming–Shiang; Lin, Chung‐Yen; Chang, Liu; Kao, Ai Wen; Wang, Hsih‐Hsi; Lin, Jaw–Town

doi:10.1016/s0016-5107(98)70161-0

Cited by 52 publications

(39 citation statements)

References 19 publications

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“…Patients with APBJ are not considered to be at high risk for pancreatic cancer. Nevertheless, a few reports have described patients with APBJ in whom pancreatic cancer developed [26,27], and the reported incidence of pancreatic cancer in APBJ patients is 1.9% to 4.5% [6,27].…”

Section: Discussionmentioning

confidence: 99%

“…Keywords Acute pancreatitis Á Anomalous pancreaticobiliary junction Á ERCP Á Biliary drainage Á Malignant biliary obstruction Á Metallic stent Anomalous pancreaticobiliary junction (APBJ) is a rare congenital malformation of the biliary tract that occurs with an incidence of 0.9% to 8.7% at endoscopic retrograde cholangiopancreatography (ERCP) [1][2][3][4][5][6] and of 3.3% at biliary surgery [1,7]. Frequently, APBJ is associated with choledochal cysts and carries a higher risk for the development of bile duct cancer.…”

Section: ó Springer Science+business Media Llc 2007mentioning

confidence: 99%

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Self-expandable metallic stents for malignant biliary obstruction with an anomalous pancreaticobiliary junction

et al. 2007

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Section: Discussionmentioning

confidence: 99%

Section: ó Springer Science+business Media Llc 2007mentioning

confidence: 99%

Self-expandable metallic stents for malignant biliary obstruction with an anomalous pancreaticobiliary junction

et al. 2007

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“…[16][17][18][19] A choledochal cyst is frequently associated with an anomalous arrangement of the biliary and pancreatic duct system, and it is well known that choledochal cysts are associated with gallbladder and bile duct cancers. 20,21 The formation of a notch, which indicates contraction of the sphincter of Oddi, is incomplete in subjects with an anomalous pancreatobiliary junction. 20 So, dysfunction of the sphincter of Oddi in the patient with an anomalous pancreatobiliary junction causes the reflux of pancreatic juice into the dilated CBD.…”

Section: Discussionmentioning

confidence: 99%

Mucinous cystadenoma of the pancreas 17 years after excision of gallbladder because of a choledochal cyst

Tajiri

Tate

Inagaki

et al. 2004

Journal of Gastroenterology

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A 56-year-old woman who had undergone excision of the gallbladder because of a choledochal cyst had a tumorous lesion of the pancreas identified by upper abdominal ultrasonography, but an operation was not carried out, because there was no apparent increase in the cystic mass and no elevation of serum tumor markers. In October 2001, she was admitted to our hospital to check for malignancy because of elevated levels of the tumor marker Dupan-2. Abdominal enhanced computed tomography and upper abdominal ultrasonography revealed a large multilocular cystic mass in the body to tail of the pancreas. Endoscopic retrograde cholangiopancreatography showed elongation of the common duct that communicates with the common bile duct and the main pancreatic duct, indicating an anomalous arrangement of the biliary and pancreatic duct system. No apparent communications between the cystic mass and the main pancreatic duct were observed. In January 2002, the patient underwent a spleen-preserving distal pancreatectomy, and histopathological and immunohistochemical examinations led to the diagnosis of pancreatic mucinous cystadenoma with ovarian-like stroma. The mucinous cystadenoma was detected 17 years after the operation for the choledochal cyst. To the best of our knowledge, no documented case reports of mucinous cystadenoma of the pancreas associated with a choledocal cyst have been reported to date. We present here the first case report of pancreatic mucinous cystadenoma occurring in the body to tail of the pancreas, associated with a choledocal cyst.

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“…The incidence of pancreatic cancer has been reported to range from 1.9% to 3%, and the incidence of pancreatic cancer is lower than that of bile duct cancer in patients with a choledochal cyst or PBM. [16][17][18] In any event, reported cases of pancreatic cancer developing after cyst excision are extremely rare. According to Fieber and Nance, 18 a review of the literature revealed that the incidence of pancreatic cancer accompanying choledochal cyst was 3%.…”

Section: Discussionmentioning

confidence: 99%

Carcinoma Arising in the Pancreas 17 Years After Primary Excision of a Choledochal Cyst: Report of a Case

Eriguchi¹,

Aoyagi²,

Okuda³

et al. 2001

Surgery Today

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We report herein the case of a 42-year-old woman in whom a pancreatic carcinoma was found 17 years after excision of a choledochal cyst with Roux-en-Y hepaticojejunostomy. Although the incidence of biliary carcinoma associated with choledochal cyst is high, reports of cancer developing in the remaining intrapancreatic biliary tract or pancreas in patients who have previously undergone primary excision of a choledochal cyst are extremely rare. Long-term follow-up is recommended even for patients who have undergone excisional surgery for a choledochal cyst, in consideration of the possibility that cancer associated with the intrapancreatic biliary tract or pancreas may develop.

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Pancreaticobiliary diseases associated with anomalous pancreaticobiliary ductal union

Cited by 52 publications

References 19 publications

Self-expandable metallic stents for malignant biliary obstruction with an anomalous pancreaticobiliary junction

Self-expandable metallic stents for malignant biliary obstruction with an anomalous pancreaticobiliary junction

Mucinous cystadenoma of the pancreas 17 years after excision of gallbladder because of a choledochal cyst

Carcinoma Arising in the Pancreas 17 Years After Primary Excision of a Choledochal Cyst: Report of a Case

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