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Normal structure, variations, and anomalies of the pancreaticobiliary ducts of Koreans: a nationwide cooperative prospective study

Authors
 Hong-Ja Kim  ;  Myung-Hwan Kim  ;  Sung-Koo Lee  ;  Dong-Wan Seo  ;  Yong-Tae Kim  ;  Dong-Ki Lee  ;  Si-Young Song  ;  Im-Hwan Roe  ;  Jin-Hong Kim  ;  Jae-Bock Chung  ;  Chang-Duck Kim  ;  Chan-Sup Shim  ;  Yong-Bum Yoon  ;  Ung-Suk Yang  ;  Jin-Kyung Kang  ;  Young-Il Min 
Citation
 GASTROINTESTINAL ENDOSCOPY, Vol.55(7) : 889-896, 2002-01 
Journal Title
 GASTROINTESTINAL ENDOSCOPY 
ISSN
 0016-5107 
Issue Date
2002-01
MeSH
Adolescent ; Adult ; Aged ; Bile Duct Diseases / congenital ; Bile Duct Diseases / epidemiology* ; Bile Duct Diseases / pathology* ; Bile Ducts / abnormalities* ; Bile Ducts / pathology* ; Cholangiopancreatography, Endoscopic Retrograde ; Female ; Humans ; Korea / epidemiology ; Male ; Middle Aged ; Pancreas / abnormalities* ; Pancreas / pathology* ; Pancreatic Diseases / congenital ; Pancreatic Diseases / epidemiology* ; Pancreatic Diseases / pathology* ; Prospective Studies
Abstract
Background: This study evaluated the normal pancreaticobiliary ducts of Koreans and assessed the frequency and pattern of variations and anomalies of these structures. Methods: A prospective, nationwide multicenter study was performed in which 10 university hospitals in Korea participated from March 1997 to June 1999. A total 10,243 patients undergoing ERCP were enrolled. Results: The mean (SD) maximal and midportion diameters in millimeters of the common hepatic duct were, respectively, 6.1 (1.8) and 5.3 (1.6). The mean maximal and midportion diameters (mm) of the common bile duct were, respectively, 6.4 (1.8) and 5.5 (1.7). The mean maximal and midportion diameters (mm) of the main pancreatic duct in the head, body and tail were, respectively, 3.2 (1.1), 2.7 (1.0), and 2.5 (2.3); and, respectively, 2.2 (0.9), 1.6 (0.7) and 1.4 (0.6). Pancreaticobiliary duct diameters for patients above the age of 40 were greater than those of patients less than 40 years of age (p < 0.05). The frequency of choledochal cyst and anomalous union of the pancreaticobiliary ducts were, respectively, 0.32% and 4.1%. Pancreas divisum and annular pancreas were found, respectively, in 0.49% and 0.05%. Conclusions: A knowledge of normal pancreaticobiliary ductal structures as well as the frequency and pattern of variations including anomalies is essential for the diagnosis and treatment of pancreaticobiliary disorders.
Full Text
https://www.sciencedirect.com/science/article/pii/S0016510702009604
DOI
10.1067/mge.2002.124635
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
Song, Si Young(송시영) ORCID logo https://orcid.org/0000-0002-1417-4314
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/178744
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