N. E. Williams FRACS; J. S. Gundara MBBS (Hons); . T. J. Hugh MD, FRACS; J. S. Samra DPhil, FRACS.
Many faces of pancreaticobiliary reflux
Version of Record online: 2 MAY 2012
© 2012 The Authors. ANZ Journal of Surgery © 2012 Royal Australasian College of Surgeons
ANZ Journal of Surgery
Volume 82, Issue 6, pages 403–407, June 2012
How to Cite
Williams, N. E., Gundara, J. S., Hugh, T. J. and Samra, J. S. (2012), Many faces of pancreaticobiliary reflux. ANZ Journal of Surgery, 82: 403–407. doi: 10.1111/j.1445-2197.2012.06076.x
- Issue online: 3 JUN 2012
- Version of Record online: 2 MAY 2012
- Accepted for publication 7 December 2011.
- choledochal cyst;
- gall bladder carcinoma;
- pancreaticobiliary maljunction;
- pancreaticobiliary reflux
Pancreaticobiliary reflux may occur either as a result of an anatomically abnormal pancreaticobiliary junction or because of a functionally impaired sphincter despite a normal radiological appearance. It is associated with a wide spectrum of biliary diseases, including gall bladder and bile duct carcinoma. Pancreaticobiliary maljunction and related biliary reflux have been studied extensively in Southeast Asian populations and associations with choledochal cyst and biliary malignancy defined. However, reflux in the absence of ductal malunion has only been described relatively recently and its significance with respect to biliary malignancy requires clarification. We present four cases of pancreaticobiliary reflux to demonstrate the varied associations of this under-recognized disorder and review the related management issues.