Japanese clinical practice guidelines for pancreaticobiliary maljunction

Journal of Gastroenterology

Volumn 47, Issue 7, 2012, Pages 731-759

  Kamisawa, Terumi ^e   Ando, Hisami ^a   Suyama, Masafumi ^b   Shimada, Mitsuo ^c   Morine, Yuji ^c   Shimada, Hiroshi ^d  

^a NAGOYA UNIVERSITY GRADUATE SCHOOL OF MEDICINE   (Japan)

^b JUNTENDO UNIVERSITY URAYASU HOSPITAL   (Japan)

^c UNIVERSITY OF TOKUSHIMA   (Japan)

^d Japanese Study Group on Pancreaticobiliary Maljunction   (Japan)

^e TOKYO METROPOLITAN KOMAGOME HOSPITAL   (Japan)

Author keywords

Anomaly; Congenital biliary dilatation; Gallbladder cancer; Pancreaticobiliary maljunction; Pancreatitis

Indexed keywords

AMYLASE;

ACUTE PANCREATITIS; BILE DUCT DILATATION; BILE DUCT DISEASE; BILE DUCT OBSTRUCTION; BILE DUCT STONE; BILIARY TRACT CANCER; BILIARY TRACT SURGERY; BLOOD EXAMINATION; CHRONIC PANCREATITIS; CLINICAL FEATURE; CLINICAL PRACTICE; COMPUTER ASSISTED TOMOGRAPHY; CONGENITAL BILIARY DILATATION; CONSENSUS; ECHOGRAPHY; ENDOSCOPIC ECHOGRAPHY; ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY; EVIDENCE BASED PRACTICE; GALLSTONE; HEPATOBILIARY DISEASE; HUMAN; INTRAHEPATIC BILE DUCT; JAPANESE; MAGNETIC RESONANCE CHOLANGIOPANCREATOGRAPHY; MEDICAL LITERATURE; MEDICAL SOCIETY; PANCREAS DUCT; PANCREAS INJURY; PANCREATICOBILIARY MALJUNCTION; PATHOPHYSIOLOGY; PATIENT CARE; PERFORATION; PEROPERATIVE CHOLANGIOGRAPHY; POSTOPERATIVE COMPLICATION; PRACTICE GUIDELINE; PRENATAL DIAGNOSIS; PRIORITY JOURNAL; REVIEW; THREE DIMENSIONAL IMAGING;

BILE DUCT DISEASES; BILE DUCTS; EVIDENCE-BASED MEDICINE; HUMANS; JAPAN; PANCREATIC DISEASES; PANCREATIC DUCTS; PROGNOSIS;

EID: 84865032501     PISSN: 09441174     EISSN: 14355922     Source Type: Journal    
DOI: 10.1007/s00535-012-0611-2     Document Type: Review

References (152)

1. The Committee of Japanese Study Group on Pancreaticobiliary Maljunction (JSPBM) for diagnostic criteria: diagnostic criteria of pancreaticobiliary maljunction. J Hepatobiliary Pancreat Surg. 1994;1:219-21.
2. Kamisawa T, Okamoto A. Biliopancreatic and pancreatobiliary refluxes in cases with and without pancreaticobiliary maljunction: diagnosis and clinical implications. Digestion. 2006;73:228-36.
3. Kamisawa T, Takuma K, Anjiki H, Egawa N, Kurata M, Honda G, et al. Pancreaticobiliary maljunction. Clin Gastroenterol Hepatol. 2009;7:S84-8.
4. Odgers PNB. Some observations on the development of the ventral pancreas in man. J Anat. 1930;65:1-7.
5. Oi I, Ohashi M. Embryological study of pancreaticobiliary maljunction. Tan to Sui. 1982;3:463-76 (in Japanese).
6. Oi I, Toki F, Nishino T, Oyama H. A developmental study of cystic biliary dilatation of pancreaticobiliary maljunction based on three cases with cystic dilatation of choledochus and cystic duct but hepatic duct. J Japan Biliary Assoc. 2007;21:39-44 (in Japanese with English abstract).
7. Ando H, Kaneko K, Ito F, Seo T, Harada T, Watanabe Y. Embryogenesis of pancreaticobiliary maljunction inferred from development of duodenal atresia. J Hepatobiliary Pancreat Surg. 1999;6:50-4.
8. Matsumoto Y, Fujii H, Itakura J, Mogaki M, Matsuda M, Morozumi A, et al. Pancreaticobiliary maljunction: etiologic concepts based on radiologic aspects. Gastrointest Endosc. 2001;53:614-9.
9. Tanaka T. Pathogenesis of choledochal cyst with anomalous pancreatico-biliary ductal union. Am J Gastroenterol. 1995;90:685.
10. Komi N. Our studies on choledochal cysts and review of the literature: with special reference to pancreaticobiliary maljunction. In: Koyanagi Y, Aoki T, editors. Pancreaticobiliary maljunction. Tokyo: Igaku Tosho; 2002. p. 1-16.
11. 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.
12. Alonso-Lej F, Rever 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.
13. Todani T, Watanabe Y, Narusue M, Tabuchi K, Okajima K. Congenital bile duct cysts: classification, operative procedures, and review of thirty-seven cases including cancer arising from choledochal cyst. Am J Surg. 1977;134:263-9.
14. Todani T. Congenital choledochal dilatation: classification, clinical features, and long-term results. J Hepatobiliary Pancreat Surg. 1997;4:276-82.
15. Tashiro S, Imaizumi T, Ohkawa H, Okuda A, Katoh T, Kawarada Y, et al. Overall report on the registration study of the Japanese study group on pancreaticobiliary maljunction for the past 10 years. In: Koyanagi Y, Aoki T, editors. Pancreaticobiliary maljunction. Tokyo: Igaku Tosho; 2002. p. 401-10.
16. Yamaguchi M. Congenital choledochal cyst. Analysis of 1,433 patients in the Japanese literature. Am J Surg. 1980;140:653-7.
17. Miyano T, Yamataka A. Choledochal cysts. Curr Opin Pediatr. 1997;9:283-8.
18. Kim MH, Lim BC, Park HJ, Lee SK, Kim CD, Roe IH, et al. A study on normal structures, variations, and anomalies of the Korean pancreaticobiliary ducts: cooperative multicenter study. Korean J Gastrointest Endosc. 2000;21:624-32.
19. Olbourne NA. Choledochal cysts: a review of the cystic anomalies of the biliary tree. Ann R Coll Surg. 1975;56:26-32.
20. Howell CG, Templeton JM, Weiner S, Glassman M, Betts JM, et al. Antenatal diagnosis and early surgery for choledochal cyst. J Pediatr Surg. 1983;18:387-93.
21. Lenriot JP, Gigot JF, Segol P. Bile duct cysts in adults: a multiinstitutional retrospective study. French Association for Surgical Research. Ann Surg. 1998;228:159-66.
22. Suda K, Miyano T, Hashimoto K. The choledocho-pancreaticoductal junction in infantile obstructive jaundice disease. Acta Pathol Jpn. 1980;30:187-94.
23. Boyden EA. The anatomy of the choledochoduodenal junction in man. Surg Gynecol Obstet. 1957;104:642-52.
24. Fujii H, Yang Y, Tang R, Kunitomo K, Itakura J, Mogaki M, et al. Epithelial cell proliferation activity of the biliary ductal system with congenital biliary malformations. J Hepatobiliary Pancreat Surg. 1999;6:294-302.
25. Hanada K, Itoh M, Fujii K, Tsuchida A, Ooishi H, Kajiyama G. K-ras and p53 mutations in stage I gallbladder carcinoma with anomalous junction of the pancreatobiliary duct. Cancer. 1996;77:452-8.
26. Motosugi U, Ichikawa T, Araki T, Kitahara F, Sato T, Itakura J, et al. Secretin-stimulating MRCP in patients with pancreatobiliary maljunction and occult pancreatobiliary reflux: direct demonstration of pancreatobiliary reflux. Eur Radiol. 2007;17:2262-7.
27. Fujii H, Matsumoto Y, Yamamoto M, Miura K, Matsuda M, Sugahara K. Bile flow analysis by hepatobiliary scintigraphy in the terminal bile duct in patients with congenital malformations of the pancreaticobiliary ductal system. Gastroenterol Jpn. 1991;26:201-8.
28. Tanaka M, Ikeda S, Kawakami K, Nakayama F. The pressure of a positive pressure gradient from pancreatic duct to choledochal cyst demonstrated by duodenoscopic microtransducer manometry: clue to pancreaticobiliary reflux. Endoscopy. 1982;14:45-7.
29. Tashiro S, Imaizumi T, Ohkawa H, Okada A, Katoh T, Kawaharada Y, et al. Pancreaticobiliary maljunction: retrospective and nationwide survey in Japan. J Hepatobiliary Pancreat Surg. 2003;10:345-51.
30. Matsufuji H, Araki Y, Nakamura A, Ohigashi S, Watanabe F. Dynamic study of pancreaticobiliary reflux using secretinstimulated magnetic resonance cholangiopancreatography in patients with choledochal cysts. J Pediatr Surg. 2006;41:1652-6.
31. Armstrong CP, Taylor TV. Pancreatic duct reflux and acute gallstone pancreatitis. Ann Surg. 1986;204:59-64.
32. Heloury Y, Leborgne J, Rogez JM, Robert R, Lehur PA, Pannier M, et al. Radiologic anatomy of the bile ducts based on intraoperative investigation in 250 cases. Anat Clin. 1985;7:93-102.
33. Fujisaki S, Tomita R, Koshinaga T, Fukuzawa M. Analysis of pancreaticobiliary ductal union based on intraoperative cholangiography in patients undergoing laparoscopic cholecystectomy. Scand J Gastroenterol. 2002;37:956-9.
34. Fumino S, Tokiwa K, Katoh T, Ono S, Iwai N. New insight into bile flow dynamics in anomalous arrangement of the pancreaticobiliary duct. Br J Surg. 2002;89:865-9.
35. Dowdy GS, Waldron GW, Brown WG. Surgical anatomy of the pancreaticobiliary ductal system. Arch Surg. 1962;84:229-46.
36. Kamisawa T, Amemiya K, Tu Y, Egawa N, Sakaki N, Tsuruta K, et al. Clinical significance of a long common channel. Pancreatology. 2002;2:122-8.
37. Kamisawa T, Funata N, Hayashi Y, Egawa N, Nakajima H, Tsuruta K, et al. Pathologic changes in the non-carcinomatous epithelium of the gallbladder in patients with a relatively long common channel. Gastrointest Endosc. 2004;60:56-60.
38. Kamisawa T, Go K, Chen PY, Tu Y, Fujiwara T, Endoh J, et al. Lesions with a high risk of carcinogenesis in the gallbladder of patients with a long common channel. Dig Endosc. 2006;18:192-5.
39. Kamisawa T, Suyama M, Fujita N, Maguchi H, Hanada K, Ikeda S, et al. Pancreatobiliary reflux and the length of a common channel. J Hepatobiliary Pancreat Sci. 2010;17:865-70.
40. Sai JK, Suyama M, Kubokawa Y, Tadokoro H, Sato N, Maehara T, et al. Occult pancreatobiliary reflux in patients with a normal pancreaticobiliary junction. Gastrointest Endosc. 2003;57:364-8.
41. Japanese Study Group on Pancreaticobiliary Maljunction (JSPBM): Registration study of pancreaticobiliary maljunction cases In: Funabiki T, editor. Pancreaticobiliary maljunction-consensus and controversy. Tokyo: Igaku Tosho; 1997. p. 409-25 (in Japanese).
42. Sugai M, Ishido K, Endoh M, Hada R, Munakata H. Sonographic demonstration of wall thickness of the gallbladder in pediatric patients with pancreatico-biliary maljunction. J Hepatobiliary Pancreat Sci. 2010;17:345-8.
43. Hanada K, Itoh M, Fujii K, Tsuchida A, Hirata M, Ishimaru S, et al. Pathology and cellular kinetics of gallbladder with an anomalous junction of the pancreaticobiliary duct. Am J Gastroenterol. 1996;91:1007-11.
44. Yamamoto M, Nakajo S, Tahara E, Ito M, Taniyama K, Shimamoto F, et al. Mucosal changes of the gallbladder in anomalous union with the pancreatico-biliary duct system. Pathol Res Pract. 1991;187:241-6.
45. Itokawa F, Itoi T, Nakamura K, Sofuni A, Kakimi K, Moriyasu F, et al. Assessment of occult pancreatobiliary reflux in patients with pancreaticobiliary disease by ERCP. J Gastroenterol. 2004;39:988-94.
46. Sugiyama M, Atomi Y. Anomalous pancreaticobiliary junction without congenital choledochal cyst. Br J Surg. 1998;85:911-6.
47. Irie H, Honda H, Jimi M, Yokohata K, Chijiiwa K, Kuroiwa T, et al. Value of MR cholangiopancreatography in evaluating choledochal cysts. AJR Am J Roentgenol. 1998;171:1381-5.
48. Hirohashi S, Hirohashi R, Uchida H, Akira M, Itoh T, Haku E, et al. Pancreatitis: evaluation with MR cholangiopancreatography in children. Radiology. 1997;203:411-5.
49. Sugiyama M, Baba M, Atomi Y, Hanaoka H, Mizutani Y, Hachiya J. Diagnosis of anomalous pancreaticobiliary junction: value of magnetic resonance cholangiopancreatography. Surgery. 1998;123:391-7.
50. Matos C, Nicaise N, Devière J, Cassart M, Metens T, Struyven J, et al. Choledochal cysts: comparison of findings at MR cholangiopancreatography and endoscopic retrograde cholangiopancreatography in eight patients. Radiology. 1998;209:443-8.
51. Kim MJ, Han SJ, Yoon CS, Kim JH, Oh JT, Chung KS, et al. Using MR cholangiopancreatography to reveal anomalous pancreaticobiliary ductal union in infants and children with choledochal cysts. AJR Am J Roentgenol. 2002;179:209-14.
52. Kamisawa T, Tu Y, Egawa N, Tsuruta K, Okamoto A, Kamata N. MRCP of congenital pancreaticobiliary malformation. Abdom Imaging. 2007;32:129-33.
53. Lam WW, Lam TP, Saing H, Chan FL, Chan KL. MR cholangiography and CT cholangiography of pediatric patients with choledochal cysts. AJR Am J Roentgenol. 1999;173:401-5.
54. Mitake M, Nakazawa S, Naitoh Y, Kimoto E, Tsukamoto Y, Yamao K, et al. Value of endoscopic ultrasonography in the detection of anomalous connection of the pancreatobiliary duct. Endoscopy. 1991;23:117-20.
55. Sugiyama M, Atomi Y. Endoscopic ultrasonography for diagnosing anomalous pancreaticobiliary junction. Gastrointest Endosc. 1997;45:261-7.
56. Yusuf TE, Bhutani MS. Role of endoscopic ultrasonography in diseases of the extrahepatic biliary system. J Gastroenterol Hepatol. 2004;19:243-50.
57. Tanno S, Obara T, Maguchi H, Mizukami Y, Shudo R, Fujii T, et al. Thickened inner hypoechoic layer of the gallbladder wall in the diagnosis of anomalous pancreaticobiliary ductal union with endosonography. Gastrointest Endosc. 1997;46:520-6.
58. Sakamoto H, Mutoh H, Ido K, Satoh S, Kumagai M, Hayakawa H, et al. Intestinal metaplasia in gallbladder correlates with high amylase levels in bile in patients with a morphologically normal pancreaticobiliary duct. Hum Pathol. 2009;40:1762-7.
59. Horaguchi J, Fujita N, Noda Y, Kobayashi G, Ito K, Takasawa O, et al. Amylase levels in bile in patients with a morphologically normal pancreaticobiliary ductal arrangement. J Gastroenterol. 2008;43:305-11.
60. Imazu M, Iwai N, Tokiwa K, Shimotake T, Kimura O, Ono S. Factors of biliary carcinogenesis in choledochal cysts. Eur J Pediatr Surg. 2001;11:24-7.
61. Kitagawa Y, Yamaguchi Ai, Isogai M, Hori A, Kaneoka Y, Igami T, et al. Clinicopathological studies on cases with high amylase concentration of gallbladder bile. J Japan Biliary Assoc. 1999;13:39-44 (in Japanese with English abstract).
62. Morine Y, Mori H, Utsunomiya T, Imura S, Ikemoto T, Shimada M. Epidemiology and clinical features of pancreaticobiliary maljunction. J Japan Biliary Assoc. 2011;25:133-40 (in Japanese with English abstract).
63. Jeong IH, Jung YS, Kim H, Kim BW, Kim JW, Hong J, et al. Amylase level in extrahepatic bile duct in adult patients with choledochal cyst plus anomalous pancreatico-biliary ductal union. World J Gastroenterol. 2005;11:1965-70.
64. Sugiyama Y, Kobori H, Hakamada K, Seito D, Sasaki M. Altered bile composition in the gallbladder and common bile duct of patients with anomalous pancreaticobiliary ductal junction. World J Surg. 2000;24:17-21.
65. Matsuda M, Watanabe G, Hashimoto M, Udagawa H. Evaluation of pancreaticobiliary maljunction and low bile amylase levels. J Japan Biliary Assoc. 2007;21:119-24 (in Japanese with English abstract).
66. Dewbury KC, Aluwihare AP, Birch SJ, Freeman NV. Prenatal ultrasound demonstration of a choledochal cyst. Br J Radiol. 1980;53:906-7.
67. Kawashima S, Urushihara N, Fukumoto K, Suzuki K, Matsuoka T, Fukuzawa H, et al. The management of prenatally diagnosed choledochal cyst. J Jpn Soc Pediatr Surg. 2009;45:699-705 (in Japanese with English abstract).
68. Schooeder D, Smith L, Prain C. Antenatal diagnosis of choledochal cyst at 15 weeks' gestation: etiologic implications and management. J Pediatr Surg. 1989;24:936-8.
69. Redkar R, Davenport M, Howard ER. Antenatal diagnosis of congenital anomalies of the biliary tract. J Pediatr Surg. 1988;33:700-4.
70. Lugo-Vicente HL. Prenatally diagnosed choledochal cysts: observation or early surgery? J Pediatr Surg. 1995;30:1288-90.
71. Sherwood W, Boyd P, Lakhoo K. Postnatal outcome of antenatally diagnosed intra-abdominal cysts. Pediatr Surg Int. 2008;24:763-5.
72. Uchimura M. Anomalous arrangement of pancreaticobiliary ductal system and cholelithiasis. In: Komi N, editor. Pancreaticobiliary maljunction. Tokyo: Herusu; 1987. p. 105-16 (in Japanese).
73. Kusano T, Takao T, Tachibana K, Tanaka Y, Kamachi M, Ikematsu Y, et al. Whether or not prophylactic excision of the extrahepatic bile duct is appropriate for patients with pancreaticobiliary maljunction without bile duct dilatation. Hepatogastroenterology. 2005;52:1649-53.
74. Terui K, Yoshida H, Kouchi K, Hishiki T, Saito T, Mitsunaga T, et al. Endoscopic sphincterotomy is a useful preoperative management for refractory pancreatitis associated with pancreaticobiliary maljunction. J Pediatr Surg. 2008;43:495-9.
75. Sugiyama M, Atomi Y, Kuroda A. Pancreatic disorders associated with anomalous pancreaticobiliary junction. Surgery. 1999;126:492-7.
76. Kamisawa T, Tu Y, Nakajima H, Egawa N, Tsuruta K, Okamoto A, et al. Acute pancreatitis and a long common channel. Abdom Imaging. 2007;32:365-9.
77. Ohuchida J, Chijiiwa K, Hiyoshi M, Kobayashi K, Konomi H, Tanaka M. Long-term results of treatment for pancreaticobiliary maljunction without bile duct dilatation. Arch Surg. 2006;141:1066-70.
78. Toki F, Nishino T, Yoshida K, Cho M, Kozu T, Takeuchi T, et al. Anomaly of the pancreatic and biliary duct system-its association with pancreatitis. Tan to sui. 1991;12:1085-93 (in Japanese).
79. Kamisawa T, Matsukawa M, Amemiya K, Tu Y, Egawa N, et al. Pancreatitis associated with pancreaticobiliary maljunction. Hepatogastroenterology. 2003;50:1665-8.
80. Opie EL. Etiology of acute hemorrhagic pancreatitis. Bull Johns Hopkins Hosp. 1901;12:182-8.
81. Shimada K, Yanagisawa J, Nakayama F. Increased lysophosphatidylcholine and pancreatic enzyme content in bile of patients with anomalous pancreaticobiliary ductal junction. Hepatology. 1991;13:438-44.
82. Kaneko K, Ando H, Ito T, Watanabe Y, Seo T, Harada T, et al. Protein plugs cause symptoms in patients with choledochal cysts. Am J Gastroenterol. 1997;92:1018-21.
83. Todani T, Urushihara N, Watanabe Y, Toki A, Uemura S, Sato Y, et al. Pseudopancreatitis in choledochal cyst in children: intraoperative study of amylase levels in the serum. J Pediatr Surg. 1990;25:303-6.
84. Rossi RL, Silverman ML, Braasch JW, Munson JL, ReMine SG. Carcinomas arising in cystic conditions of the bile ducts. A clinical and pathologic study. Ann Surg. 1987;205:377-84.
85. Hasumi A, Matsui H, Sugioka A, Uyama I, Komori Y, Fujita J, et al. Precancerous conditions of biliary tract cancer in patients with pancreaticobiliary maljunction: reappraisal of nationwide survey in Japan. J Hepatobiliary Pancreat Surg. 2000;7:551-5.
86. Ogawa A, Sugo H, Takamori S, Kojima K, Fukasawa M, Beppu T, et al. Double cancers in the common bile duct: molecular genetic findings with an analysis of LOH. J Hepatobiliary Pancreat Surg. 2001;8:374-8.
87. Okamoto A, Tsuruta K, Matsumoto G, Takahashi T, Kamisawa T, Egawa N, et al. Papillary carcinoma of the extrahepatic bile duct: characteristic features and implications in surgical treatment. J Am Coll Surg. 2003;196:394-401.
88. Hori H, Ajiki T, Fujita T, Okazaki T, Suzuki Y, Kuroda Y, et al. Double cancer of gall bladder and bile duct not associated with anomalous junction of the pancreaticobiliary duct system. Jpn J Clin Oncol. 2006;36:638-42.
89. Itoh T, Fuji N, Taniguchi H, Yasukawa S, Yasuda H, Wakabayashi N, et al. Double cancer of the cystic duct and gallbladder associated with low junction of the cystic duct. J Hepatobiliary Pancreat Surg. 2008;15:338-43.
90. Fujii T, Kaneko T, Sugimoto H, Okochi O, Inoue S, Takeda S, et al. Metachronous double cancer of the gallbladder and common bile duct. J Hepatobiliary Pancreat Surg. 2004;11:280-5.
91. Sheth S, Bedford A, Chopra S. Primary gallbladder cancer: recognition of risk factors and the role of prophylactic cholecystectomy. Am J Gastroenterol. 2000;95:1402-10.
92. Hsing AW, Bai Y, Andreotti G, Rashid A, Deng J, Chen J, et al. Family history of gallstones and the risk of biliary tract cancer and gallstones: a population-based study in Shanghai, China. Int J Cancer. 2007;121:832-8.
93. Tsuchida A, Itoi T. Carcinogenesis and chemoprevention of biliary tract cancer in pancreaticobiliary maljunction. World J Gastrointest Oncol. 2010;2:130-5.
94. Kozuka S, Tsubone N, Yasui A, Hachisuka K. Relation of adenoma to carcinoma in the gallbladder. Cancer. 1982;50:2226-34.
95. Watanabe H, Date K, Itoi T, Matsubayashi H, Yokoyama N, Yamano M, et al. Histological and genetic changes in malignant transformation of gallbladder adenoma. Ann Oncol. 1999;10:136-9.
96. Aoki T, Tsuchida A, Kasuya K, Aoki T, Saito H, Endo M, et al. Carcinogenesis in pancreaticobiliary maljunction. In: Koyanagi Y, Aoki T, editors. Pancreaticobiliary maljunction. Tokyo: Igaku Tosho; 2002. p. 295-302.
97. Sai JK, Suyama M, Nobukawa B, Kubokawa Y, Yokomizo K, Sato N. Precancerous mucosal changes in the gallbladder of patients with occult pancreatobiliary reflux. Gastrointest Endosc. 2005;61:264-8.
98. Beltrán MA, Vracko J, Cumsille MA, Cruces KS, Almonacid J, Danilova T. Occult pancreaticobiliary reflux in gallbladder cancer and benign gallbladder diseases. J Surg Oncol. 2007;96:26-31.
99. Sugiyama M, Abe N, Tokuhara M, Masaki T, Mori T, Atomi Y. Pancreatic carcinoma associated with anomalous pancreaticobiliary junction. Hepatogastroenterology. 2001;48:1767-9.
100. Mizutani M, Fuse A, Kimura W. A case of carcinoma of the pancreas associated with anomalous junction of the pancreaticobiliary tracts. Suizo. 2003;18:42-7 (in Japanese with English abstract).
101. Minami Y, Hasuike Y, Takeda Y, Tsujinaka T. Metachronous double cancer of the gallbladder and pancreas associated with pancreaticobiliary maljunction. J Hepatobiliary Pancreat Surg. 2008;15:330-3.
102. Funabiki T, Matsubara T, Miyakawa S, Ishihara S. Pancreaticobiliary maljunction and carcinogenesis to biliary and pancreatic malignancy. Langenbecks Arch Surg. 2009;394:159-69.
103. Adachi T, Tajima Y, Kuroki T, Mishima T, Kitasato A, Fukuda K, et al. Bile-reflux into the pancreatic ducts is associated with the development of intraductal papillary carcinoma in hamsters. J Surg Res. 2006;136:106-11.
104. Saikusa N, Naito S, Iinuma Y, Ohtani T, Yokoyama N, Nitta K. Invasive cholangiocarcinoma identified in congenital biliary dilatation in a 3-year-old boy. J Pediatr Surg. 2009;44:2202-5.
105. Okada T, Sasaki F, Ueki S, Hirokata G, Okuyama K, Cho K, et al. Postnatal management for prenatally diagnosed choledochal cysts. J Pediatr Surg. 2004;39:1055-8.
106. Koyanagi Y, Nagae I, Ito S, et al. Differences between pediatric cases and adult cases (in Japanese). In: Funabiki T, editor. Pancreaticobiliary maljunction-consensus and controversy. Tokyo: Igaku Tosho; 1997. p. 109-14.
107. Takamatsu H, Yano T, Noguti H, et al. Pathophysiology of congenital biliary dilatation (in Japanese). In: Funabiki T, editor. Pancreaticobiliary maljunction-consensus and controversy. Tokyo: Igaku Tosho; 1997. p. 96-100.
108. Jeong JB, Whang JH, Ryu JK, Yoon YB, Kim YT. Risk factors for pancreatitis in patients with anomalous union of pancreatobiliary duct. Hepatogastroenterology. 2004;51:1187-90.
109. Ando H, Kaneko K, Ito F, Seo T, Harada T, Watanabe Y, et al. Surgical removal of protein plugs complicating choledochal cysts: primary repair after adequate opening of the pancreatic duct. J Pediatr Surg. 1998;33:1265-7.
110. Diao M, Li L, Zhang JS, Cheng W. Laparoscopic-assisted clearance of protein plugs in the common channel in children with choledochal cysts. J Pediatr Surg. 2010;45:2099-102.
111. Ando H, Kaneko K, Ito T, Watanabe Y, Seo T, Harada T, et al. Complete excision of the intrapancreatic portion of choledochal cysts. J Am Coll Surg. 1996;183:317-21.
112. Watanabe Y, Toki A, Todani T. Bile duct cancer developed after cyst excision for choledochal cyst. J Hepatobiliary Pancreat Surg. 1999;6:207-12.
113. Todani T, Watanabe Y, Urushihara, Noda T, Morotomi Y. Biliary complications after excisional procedure for choledochal cyst. J Pediatr Surg. 1995;30:478-81.
114. Todani T, Watanabe Y, Toki A, Urushihara N, Sato Y. Reoperation for congenital choledochal cyst. Ann Surg. 1988;207:142-7.
115. Ando H, Ito T, Nagaya M, Watanabe Y, Seo T, Kaneko K. Pancreaticobiliary maljunction without choledochal cysts in infants and children: clinical features and surgical therapy. J Pediatr Surg. 1995;30:1658-62.
116. 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.
117. Koshinaga T, Inoue M, Ohashi K, Sugito K, Ikeda T, Hagiwara N, et al. Persistent biliary dilatation and stenosis in postoperative congenital choledochal cyst. J Hepatobiliary Pancreat Sci. 2011;18:47-52.
118. Ando H, Ito T, Kaneko K, Seo T, Ito F. Intrahepatic bile duct stenoses causing intrahepatic calculi formation following excision of a choledochal cyst. J Am Coll Surg. 1996;183:56-60.
119. Ando H, Kaneko K, Ito F, Seo T, Ito T. Operative treatment of congenital stenoses of the intrahepatic bile ducts in patients with choledochal cysts. Am J Surg. 1997;173:491-4.
120. Todani T, Watanabe Y, Mizuguchi T, Fujii T, Toki A. Hepaticoduodenostomy at the hepatic hilum after excision of choledochal cyst. Am J Surg. 1981;142:584-7.
121. Lilly JR. Total excision of choledochal cyst. Surg Gynecol Obstet. 1978;146:254-6.
122. Todani T, Watanabe Y, Toki A, Hara H. Hilar duct carcinoma developed after cyst excision followed by hepaticoduodenostomy. In: Koyanagi Y, Aoki T, editors. Pancreaticobiliary maljunction. Tokyo: Igaku Tosho; 2002. p. 17-21.
123. Takada K, Hamada Y, Watanabe K, Tanano A, Tokuhara K, Kamiyama Y. Duodenogastric reflux following biliary reconstruction after excision of choledochal cyst. Pediatr Surg Int. 2005;21:1-4.
124. Shimotakahara A, Yamataka A, Yanai T, Kobayashi H, Okazaki T, Lane GJ, et al. Roux-en-Y hepaticojejunostomy or hepaticoduodenostomy for biliary reconstruction during the surgical treatment of choledochal cyst: which is better? Pediatr Surg Int. 2005;21:5-7.
125. Diao M, Li L, Zhang JZ, Cheng W. A shorter loop in Roux-Y hepaticojejunostomy reconstruction for choledochal cysts is equally effective: preliminary results of a prospective randomized study. J Pediatr Surg. 2010;45:845-7.
126. Ando K, Miyano T, Kohno S, Takamizawa S, Lane G. Spontaneous perforation of choledochal cyst: a study of 13 cases. Eur J Pediatr Surg. 1998;8:23-5.
127. Todani T, Tabuchi K, Watanabe Y, Nabeyama A, Emoto T, Munetomo Y. Perforated choledochal cyst in children. Z Kinderchirurgie. 1978;23:280-6.
128. Franga DL, Howell CG, Mellinger JD, Hatley RM. Single-stage reconstruction of perforated choledochal cyst: case report and review of the literature. Am Surg. 2005;7:398-401.
129. Nishimura T, Fumino S, Iwabuchi T, Shimadera S, Ono S, Deguchi E, et al. Ruptured choledocal cyst in 11-months-old girl. J Jpn Soc Pediatr Surg. 2006;42:497-501 (in Japanese with English abstract).
130. Kamisawa T, Tu Y, Kuwata G, Egawa N, Nakajima H, Tsuruta K, et al. Biliary carcinoma risk in patients with pancreaticobiliary maljunction and the degree of extrahepatic bile duct dilatation. Hepatogastroenterology. 2006;53:816-8.
131. Tsuchida A, Itoi T, Endo M, Kitamura K, Mukaide M, Itokawa F, et al. Pathological features and surgical outcome of pancreaticobiliary maljunction without dilatation of the extrahepatic bile duct. Oncol Rep. 2004;11:269-76.
132. Matsubara T, Sakurai Y, Zhi LZ, Miura H, Ochiai M, Funabiki T. K-ras and p53 gene mutations in noncancerous biliary lesions of patients with pancreaticobiliary maljunction. J Hepatobiliary Pancreat Surg. 2002;9:312-21.
133. Ishida M, Niguma T, Yukawa T, Mimura T, Tsutsui M. A case of lower bile duct cancer associated with pancreaticobiliary maljunction without bile duct dilatation after operation of a gallbladder cancer. Jpn J Gastroenterol Surg. 2007;40:1623-29 (in Japanese with English abstract).
134. Todani T, Watanabe Y, Toki A, Ogura K, Wang ZQ. Coexisting biliary anomalies and anatomical variants in choledochal cyst. Br J Surg. 1998;85:760-3.
135. Miyano T, Yamataka A, Kato Y, Kohno S, Fujiwara T. Choledochal cyst: special emphasis on the usefulness of intraoperative endoscopy. J Pediatr Surg. 1995;30:482-4.
136. Sugiyama M, Abe N, Yamaguchi Y, Yamato T, Koyama H, Tokuhara M, et al. Endoscopic pancreatic stent insertion for treatment of pseudocyst after distal pancreatectomy. Gastrointest Endosc. 2001;53:538-9.
137. Vos PM, van Beek EJ, Smits NJ, Rauws EA, Gouma DJ, Reeders JW. Percutaneous balloon dilatation for benign hepaticojejunostomy strictures. Abdom Imaging. 2000;25:134-8.
138. Shimizu H, Takeuchi D, Ito H, Kimura F, Togawa A, Miyazaki M. A case of surgical treatment for occlusion of biliary expandable metallic stent placed for benign stricture of choledochojejunostomy after extrahepatic bile duct resection. J Japan Surg Assoc. 2003;64:2257-61.
139. Chiba K, Kamisawa T, Egawa N. Relapsing acute pancreatitis caused by protein plugs in a remnant choledochal cyst. J Hepatobiliary Pancreat Sci. 2010;17:729-30.
140. Koshinaga T, Hoshino M, Inoue M, Gotoh H, Sugito K, Ikeda T, et al. Pancreatitis complicated with dilated choledochal remnant after congenital choledochal cyst excision. Pediatr Surg Int. 2005;21:936-8.
141. Nakano K, Mizuta A, Oohashi S, Kuroki S, Yamaguchi K, Tanaka M, et al. Protein stone formation in an intrapancreatic remnant cyst after resection of a choledochal cyst. Pancreas. 2003;26:405-7.
142. Jalleh RP, Williamson RCN. Choledochal cyst and chronic pancreatitis treated by proximal pancreatectomy. HPB Surg. 1991;4:245-50.
143. Chijiiwa K, Tanaka M. Late complications after excisional operation in patients with choledochal cyst. J Am Coll Surg. 1994;179:139-44.
144. Saing H, Han H, Chan KL, Lam W, Chan FL, Cheng W, et al. Early and late results of excision of choledochal cysts. J Pediatr Surg. 1999;32:1563-6.
145. Tsuchida Y, Takahashi A, Suzuki N, Kuroiwa M, Murai H, Toki F, et al. Development of intrahepatic biliary stones after excision of choledochal cysts. J Pediatr Surg. 2002;37:165-7.
146. Kobayashi S, Asano T, Yamasaki M, Kenmochi T, Nakagohri T, Ochiai T. Risk of bile duct carcinogenesis after excision of extrahepatic bile ducts in pancreaticobiliary maljunction. Surgery. 1999;126:939-44.
147. Shiozawa S, Kim DH, Usui T, Inose S, Aizu M, Tsutiya R, et al. Therapeutic results of pancreaticobiliary maljunction without biliary dilatation and potential problems. Nihon Gekakei Rengo Gakkaishi. 2009;34:1005-11 (in Japanese with English abstract).
148. Sakaguchi T, Suzuki S, Suzuki A, Fukumoto K, Jindo O, Ota S, et al. Late postoperative complications in patientswith pancreaticobiliary maljunction. Hepatogastroenterology. 2007;54:585-9.
149. Tsuchida A, Kasuya K, Endo M, Saito H, Inoue K, Nagae I, et al. High risk of bile duct carcinogenesis after primary resection of a congenital biliary dilatation. Oncol Rep. 2003;10:1183-7.
150. Todani T, Watanabe Y, Toki A, Urushihara N. Carcinoma related to choledochal cysts with internal drainage operation. Surg Gynecol Obstet. 1987;164:61-4.
151. Noda T, Oyama T. Carcinogenesis after surgery in pancreaticobiliary maljunction. Tan to Sui. 2010;31:1325-30 (in Japanese).
152. Sekido H, Sano A, Ichimanda M, Asano F, Matsumoto C, Shimizu T, et al. A case of bile duct carcinoma developed in pancreaticobiliary maljunction without bile duct dilatation, which has history of cholecystectomy more than forty years ago. Tan to Sui. 2010;31:329-32 (in Japanese).