J.Jpn. Surg. Soc.. 81(9): 940-943, 1980
Report on the annual meeting
PATHOPHYSIOLOGY AND THERAPY OF PANCREATITIS RELATED TO ANOMALOUS JUNCTION OF THE PANCREATICO-BILIARY DUCTAL SYSTEM: CONCERNING WITH ETIOPATHOLOGY OF ACUTE PANCREATITIS
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The Second Department of Surgery, Kagoshima University School of Medicine Eitoku Arima, Yoichiro Kojima, Kazuhiro Shimamoto, Masahiko Hashiguchi, Nobuyuki Tajima, Mutsuaki lkawa, Hachinen Akita, Tadashi Shibue*) |
Ten of 54 patients with AJPBDS showed an extremely high amylase level: 456 to 8640 Somogyi U, while they showed intermittent acute pancreatitis or pancreathopathy showing severe colicky abdominal pain.
The etiology concerning this type of pancreatopathy seems to relate biliary reflux to the pancretic duct due to a long common channel and AJPBDS at the extra-high position from Pappila duodenii.
The preferred treatment for this disorder is considered to be Roux-en-Y limb hepaticojejunostomy with primary excision of the choledochal cyst in order to prevent reflux of bile flow into the pancreatic duct.
Further studies concerning the etiology for acute pancreatitis related to AJPBDS are necessary.
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