TITLE

Chronic Pancreatitis and the Hepatobiliary System

AUTHOR(S)
Segal, Isidor; Lawson, Hugh H.; Rabinowitz, Bernard; Hamilton, Donald G.
PUB. DATE
November 1982
SOURCE
American Journal of Gastroenterology;Nov1982, Vol. 77 Issue 11, p867
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Alcohol-induced chronic pancreatitis involving the head of pancreas may have profound effects on the hepatobiliary system. The natural history, complications, and management of the syndrome are presented, using selected cases to emphasize important features. Chronic pancreatitis can cause mechanical obstruction to both the distal common bile duct and the proximal pancreatic duct. In the common bile duct this will result in proximal dilatation above the stenosis with bile stasis. Possible sequelae are ascending cholangitis, cholecystitis, biliary calculi formation, and secondary biliary cirrhosis. The mechanical effects of stricture of the proximal pancreatic duct may exacerbate pancreatic dysfunction. The clinico-pathological spectrum of chronic pancreatitis with biliary obstruction encompasses three clinical types--"transient," "recurrent, and "persistent." The widespread effects of the syndrome are evident from the involvement of pancreas, proximal pancreatic duct, papilla of Vater, liver, peripheral biliary tree, common bile duct, gallbladder, and reticuloendothelial system. Essential to management is surgery which should be considered when there is objective evidence of obstruction to the common bile duct. Choledochoduodenostomy is the preferred type of operation. If dilatation is mild and jaundice transient, conservative therapy with careful observation is advocated.
ACCESSION #
16268310

 

Related Articles

  • MR cholangiopancreatography at 3.0 T in children: diagnostic quality and ability in assessment of common paediatric pancreatobiliary pathology. Almehdar, A.; Chavhan, G. B. // British Journal of Radiology;May2013, Vol. 86 Issue 1025, p1 

    Objective: To assess the diagnostic quality of MR cholangiopancreatography (MRCP) at 3.0T in children and to assess its diagnostic ability in answering the clinical query. Also, to determine the frequency of artefacts and anatomic variations in ductal anatomy. Methods: Consecutive MRCPs...

  • Endoscopic Nasobiliary Catheter Drainage in Biliary and Pancreatic Disease. Leung, Joseph W. C.; Cotton, Peter B. // American Journal of Gastroenterology;Apr1991, Vol. 86 Issue 4, p389 

    Nasobiliary catheter drainage was first introduced a decade ago. It provides drainage of the biliary system and facilitates interventional procedures of the biliary and pancreatic system, both for therapy and research purposes. The present review addresses the designs of nasobiliary catheters,...

  • Narrow Duct Segment Distal to Choledochal Cyst. Suda, Koichi; Matsumoto, Yoshiro; Miyano, Takeshi // American Journal of Gastroenterology;Sep1991, Vol. 86 Issue 9, p1259 

    "Narrow segments" (or stenotic portions) of the common bile duct (CBD) distal to cysts in two patients (a 50-yr-old woman and a 25-yr-old man) with choledocha| cyst (CholCyst) were studied macroscopically and histologically. The narrow segments of the ducts were patent and connected with the...

  • Endoscopic retrograde cholangiopancreatography in the evaluation of anomalous junction of the pancreaticobiliary duct and related disorders. Nagi, B.; Kochhar, R.; Bhasin, D.; Singh, K. // Abdominal Imaging;Nov/Dec2003, Vol. 28 Issue 6, p847 

    Background:Anomalous junction of the pancreaticobiliary duct (AJPB) is a rare finding in endoscopic retrograde cholangiopancreatography (ERCP). We present our data on the incidence of AJPB and associated diseases.Methods:A retrospective analysis of 2885 ERCPs performed over 15 years was done to...

  • Multiple Anomalies of Pancreaticobiliary Ductal System: Report of a Case. Chun-Hsiang Wang; Lein-Ray Mo // American Journal of Gastroenterology;Oct1999, Vol. 94 Issue 10, p3086 

    Describes the case of a patient with multiple anomalies of pancreaticobiliary ductal system. Medical history of the patient; Symptoms presented; Result of the patient's pancreatogram.

  • The Radiology Corner. Schwartz, David N. // American Journal of Gastroenterology;Mar1976, Vol. 65 Issue 3, p262 

    A case is presented in which the entire pancreatic duct, including its secondary and tertiary branches, was visualized by the reflux of gas from the biliary ducts. This unusual finding suggests a possible mechanism of the associ-ation of pancreatitis with biliary tiact disease.

  • Anomalous opening of the common bile duct into the duodenal bulb: endoscopic treatment. Disibeyaz, Selcuk; Parlak, Erkan; Cicek, Bahattin; Cengiz, Cem; Kuran, Sedef O; Oguz, Dilek; Guzel, Hakan; Sahin, Burhan // BMC Gastroenterology;2007, Vol. 7, p26 

    Background: Anomalous biliary opening especially the presence of the ampulla of Vater in the duodenal bulb is a very rare phenomenon. We report clinical implications, laboratory and ERCP findings and also therapeutic approaches in 53 cases. Methods: The data were collected from the records of...

  • Fatal Complications of Caroli's Disease. Taylor, Clark O.; Ellis, Joseph G. // American Journal of Gastroenterology;Feb1982, Vol. 77 Issue 2, p75 

    Presents a case report of a male patient who died due to complications from congenital cystic dilation of intrahepatic bile ducts, also known as Caroli's disease. Clinical history of the patient; Results of postmortem examinations; Significance of intraoperative cholangiogram or endoscopic...

  • National analysis of in-hospital resource utilization in choledocholithiasis management using propensity scores. Poulose, B.; Arbogast, P.; Holzman, M. // Surgical Endoscopy;Feb2006, Vol. 20 Issue 2, p186 

    Background: Two treatment options exist for choledocholithiasis (CDL): endoscopic retrograde cholangiopancreatography (ERCP) and common bile duct exploration (CBDE). Resource utilization measured by total in-hospital charges (THC) and length of stay (LOS) was compared using the propensity score...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics