Diagnosis of congenital dilatation of the bile duct and pancreaticoobiliary maljunction

  • Inui Kazuo
    Department of Internal Medicine, Second Teaching Hospital, Fujita Health University
  • Yoshino Junji
    Department of Internal Medicine, Second Teaching Hospital, Fujita Health University
  • Miyoshi Hironao
    Department of Internal Medicine, Second Teaching Hospital, Fujita Health University
  • Kobayashi Takashi
    Department of Internal Medicine, Second Teaching Hospital, Fujita Health University
  • Yamamoto Satoshi
    Department of Internal Medicine, Second Teaching Hospital, Fujita Health University
  • Matsuura Hironao
    Department of Internal Medicine, Second Teaching Hospital, Fujita Health University

Bibliographic Information

Other Title
  • 胆道専門医講座  5)先天性胆道拡張症・膵胆管合流異常  第3回  診断  先天性胆道拡張症・膵胆管合流異常の画像診断

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Description

Diagnostic procedures of congenital dilatation of the bile duct (CDBD) and pancreatobiliary maljunction (PBM) were reviewed. CDBD is classified into 5 types, from type I to V. US, CT, and MRCP can easily delineate the dilation of the bile duct except in patients with CDBD of type II and type III. MRCP, EUS, ERCP, and contrast-enhanced MDCT are useful to diagnose PBM observed in patients with CDBD of type Ia, type Ic, and type IV-A. Although MRCP is non-invasive and useful, it is necessary to perform EUS and/or ERCP to detect biliary tract cancer highly complicated with PBM. It is important to detect patients with PBM without dilatation of the common bile duct, because such patients have high incidence of biliary tract cancers. In such patients, diffuse thickening wall of the gallbladder and/or slight dilatation of the common bile duct are observed frequently. From the viewpoint of early detection or prevention of biliary tract cancer, we should diagnose carefully in patients with such findings.<br>

Journal

  • Tando

    Tando 25 (4), 694-700, 2011

    Japan Biliary Association

Details 詳細情報について

  • CRID
    1390282679325139712
  • NII Article ID
    130004545413
  • DOI
    10.11210/tando.25.694
  • ISSN
    18836879
    09140077
  • Text Lang
    ja
  • Data Source
    • JaLC
    • CiNii Articles
  • Abstract License Flag
    Disallowed

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