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Classification of Pancreaticobiliary Maljunction and Congenital Biliary Dilatation

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Pancreaticobiliary Maljunction and Congenital Biliary Dilatation

Abstract

The Committee on Diagnostic Criteria of the Japanese Study Group on Pancreaticobiliary Maljunction (PBM) proposed a PBM classification that was simple to use in clinical practice in 2015. The Committee’s classification divided PBM into the following four types: (a) stenotic type, (b) non-stenotic type, (c) dilated channel type, and (d) complex type.

The classification of congenital choledochal cysts proposed by Alonso-Lej in 1959 classified cysts into three types. After the recognition of intrahepatic involvement, Todani refined this classification into five types with subtypes in 1977. This classification has been the most widely used. However, this classification did not include the concept of PBM. Type Ia, Ic, and IV-A (intrahepatic involvement) cysts are generally accompanied by PBM. Todani revised his classification to include a concept of PBM in 1997.

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References

  1. Kamisawa T, Ando H, Hamada Y, Fujii H, Koshinaga T, Urushihara N, et al. Diagnostic criteria for pancreaticobiliary maljunction 2013. J Hepatobiliary Pancreat Sci. 2014;21:159–61.

    Article  PubMed  Google Scholar 

  2. Tanaka K, Nishijima A, Yamada K. Cancer of the gallbladder associated with anomalous junction of the pancreatobiliary duct system without bile duct dilatation. Br J Surg. 1993;80:622–4.

    Article  PubMed  CAS  Google Scholar 

  3. Chijiiwa K, Kimura H, Tanaka M. Malignant potential of the gallbladder in patients with anomalous pancreaticobiliary ductal junction. The difference in risk between patients with and without choledochal cyst. Int Surg. 1995;80:61–4.

    CAS  PubMed  Google Scholar 

  4. Todani T, Watanabe Y, Urushihara N, Morotomi Y, Maeba T. Choledochal cyst, pancreatobiliary malunion, and cancer. J Hep Bil Pancr Surg. 1994;1:247–51.

    Article  Google Scholar 

  5. Morine Y, Shimada M, Takamatsu H, Araida T, Endo I, Kubota M, et al. Clinical features of pancreaticobiliary maljunction: update analysis of 2nd Japan-nationwide survey. J Hepatobiliary Pancreat Sci. 2013;20:472–80.

    Article  PubMed  Google Scholar 

  6. Kimura K, Ohto M, Ono T, Tsuchiya Y, Saisho H, Kawamura K, et al. Congenital cystic dilatation of the common bile duct: relationship to anomalous pancreaticobiliary ductal union. Am J Roentgenol. 1977;128:571–7.

    Article  CAS  Google Scholar 

  7. Komi N, Udaka H, Ikeda N, Kashiwagi Y. Congenital dilatation of the biliary tract: new classification and study with particular reference to anomalous arrangement of the pancreaticobiliary ducts. Gastroenterol Jpn. 1977;12:293–304.

    Article  CAS  PubMed  Google Scholar 

  8. Komi N, Takehara H, Kunitomo K, Miyoshi Y, Yagi T. Does the type of anomalous arrangement of pancreaticobiliary ducts influence the surgery and prognosis of choledochal cyst? J Pediatr Surg. 1992;27:728–31.

    Article  PubMed  CAS  Google Scholar 

  9. Todani T. Congenital choledochal dilatation: classification, clinical features, and long-term results. J Hepato-Biliary-Pancreat Surg. 1997;4:276–82.

    Article  Google Scholar 

  10. Urushihara N, Hamada Y, Kamisawa T, Fujii H, Koshinaga T, Morotomi Y, et al. Classification of pancreaticobiliary maljunction and clinical features in children. J Hepatobiliary Pancreat Sci. 2017;24:449–55.

    Article  PubMed  Google Scholar 

  11. Alonso-Lej F, Reverx WB Jr, Pessagno DJ. Congenital choledochal cyst with a report of 2, and an analysis of 94, cases. Int Abstr Surg. 1959;108:1–30.

    PubMed  CAS  Google Scholar 

  12. Hamada Y, Ando H, Kamisawa T, Itoi T, Urushihara N, Koshinaga T, et al. Diagnostic criteria for congenital biliary dilatation 2015. J Hepatobiliary Pancreat Sci. 2016;23:342–6.

    Article  PubMed  Google Scholar 

  13. Ando H, Ito T, Kaneko K, Seo T. Congenital stenosis of the intrahepatic bile duct associated with choledochal cysts. J Am Coll Surg. 1995;181:426–30.

    PubMed  CAS  Google Scholar 

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Correspondence to Naoto Urushihara .

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Urushihara, N. (2018). Classification of Pancreaticobiliary Maljunction and Congenital Biliary Dilatation. In: Kamisawa, T., Ando, H. (eds) Pancreaticobiliary Maljunction and Congenital Biliary Dilatation. Springer, Singapore. https://doi.org/10.1007/978-981-10-8654-0_7

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  • DOI: https://doi.org/10.1007/978-981-10-8654-0_7

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