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Pancreaticobiliary Malunion

MedGen UID:
887240
•Concept ID:
C4054251
•
Disease or Syndrome

Definition

An abnormality of the pancreatic and biliary ducts in which their junction occurs above the duodenal wall. [from NCI]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVPancreaticobiliary Malunion

Recent clinical studies

Etiology

Choledochal cyst.
Cazares J, Koga H, Yamataka A
Pediatr Surg Int 2023 Jun 1;39(1):209. doi: 10.1007/s00383-023-05483-1. PMID: 37261604
Dual common bile duct examination with transcystic choledochoscopy and cholangiography in laparoscopic cholecystectomy for suspected choledocholithiasis: a prospective study.
Matsumura T, Komatsu S, Komaya K, Fukami Y, Arikawa T, Saito T, Osawa T, Kurahashi S, Uchino T, Kato S, Toda Y, Kaneko K, Sano T
Surg Endosc 2021 Jul;35(7):3379-3386. Epub 2020 Jul 9 doi: 10.1007/s00464-020-07779-y. PMID: 32648039
Congenital biliary dilatation may consist of 2 disease entities.
Diao M, Li L, Cheng W
J Pediatr Surg 2011 Aug;46(8):1503-9. doi: 10.1016/j.jpedsurg.2010.12.022. PMID: 21843715
Epithelial cell proliferation and gene mutation in the mucosa of gallbladder with pancreaticobiliary malunion and cancer.
Obara T, Tanno S, Fujii T, Izawa T, Mizukami Y, Yanagawa N, Ura H, Kohgo Y
J Hepatobiliary Pancreat Surg 1999;6(3):229-36. doi: 10.1007/s005340050112. PMID: 10526057
Bile duct cancer developed after cyst excision for choledochal cyst.
Watanabe Y, Toki A, Todani T
J Hepatobiliary Pancreat Surg 1999;6(3):207-12. doi: 10.1007/s005340050108. PMID: 10526053

Diagnosis

Choledochal cyst.
Cazares J, Koga H, Yamataka A
Pediatr Surg Int 2023 Jun 1;39(1):209. doi: 10.1007/s00383-023-05483-1. PMID: 37261604
Dual common bile duct examination with transcystic choledochoscopy and cholangiography in laparoscopic cholecystectomy for suspected choledocholithiasis: a prospective study.
Matsumura T, Komatsu S, Komaya K, Fukami Y, Arikawa T, Saito T, Osawa T, Kurahashi S, Uchino T, Kato S, Toda Y, Kaneko K, Sano T
Surg Endosc 2021 Jul;35(7):3379-3386. Epub 2020 Jul 9 doi: 10.1007/s00464-020-07779-y. PMID: 32648039
An infant with biliary ascites.
Saeed A, El Mouzan M, Assiri A, Alsarkhy A, Majeed K
J Coll Physicians Surg Pak 2014 Nov;24 Suppl 3:S250-2. PMID: 25518792
Carcinoma arising in choledochocele.
Ohtsuka T, Inoue K, Ohuchida J, Nabae T, Takahata S, Niiyama H, Yokohata K, Ogawa Y, Yamaguchi K, Chijiiwa K, Tanaka M
Endoscopy 2001 Jul;33(7):614-9. doi: 10.1055/s-2001-15324. PMID: 11473335
Congenital biliary dilatation.
Miyano T, Yamataka A, Li L
Semin Pediatr Surg 2000 Nov;9(4):187-95. doi: 10.1053/spsu.2000.18843. PMID: 11112836

Therapy

Dual common bile duct examination with transcystic choledochoscopy and cholangiography in laparoscopic cholecystectomy for suspected choledocholithiasis: a prospective study.
Matsumura T, Komatsu S, Komaya K, Fukami Y, Arikawa T, Saito T, Osawa T, Kurahashi S, Uchino T, Kato S, Toda Y, Kaneko K, Sano T
Surg Endosc 2021 Jul;35(7):3379-3386. Epub 2020 Jul 9 doi: 10.1007/s00464-020-07779-y. PMID: 32648039

Prognosis

An infant with biliary ascites.
Saeed A, El Mouzan M, Assiri A, Alsarkhy A, Majeed K
J Coll Physicians Surg Pak 2014 Nov;24 Suppl 3:S250-2. PMID: 25518792
Synchronous Todani types I and III choledochal cysts in a 10-month-old-infant: type IVb.
Lao OB, Stein S, Ely KA, Lovvorn HN 3rd
Pediatr Surg Int 2008 Jul;24(7):859-62. Epub 2008 Apr 26 doi: 10.1007/s00383-008-2162-4. PMID: 18438673
Cholecystectomy alone is inadequate for treating forme fruste choledochal cyst: evidence from a rare but important case report.
Miyano G, Yamataka A, Shimotakahara A, Kobayashi H, Lane GJ, Miyano T
Pediatr Surg Int 2005 Jan;21(1):61-3. doi: 10.1007/s00383-004-1266-8. PMID: 15316725
Forme fruste choledochal cyst: long-term follow-up with special reference to surgical technique.
Shimotakahara A, Yamataka A, Kobayashi H, Okada Y, Yanai T, Lane GJ, Miyano T
J Pediatr Surg 2003 Dec;38(12):1833-6. doi: 10.1016/j.jpedsurg.2003.08.026. PMID: 14666480
Bile duct cancer developed after cyst excision for choledochal cyst.
Watanabe Y, Toki A, Todani T
J Hepatobiliary Pancreat Surg 1999;6(3):207-12. doi: 10.1007/s005340050108. PMID: 10526053

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