El síndrome del conducto bilio-pancreático común en adultos

Background: The Common Channel Syndrome (CCS) is defined as the union of the biliary and pancreatic ducts outside of the duodenal wall with a common duct more than 15 mm long. It is classified morphologically in types 1 and 2, whether it is the biliary or the pancreatic duct the one that predominate...

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Autores principales:	Harz B,Carlos, Río P,José Antonio, Quintana F,Felipe, Vera P,Emilio
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2001
Materias:	Common bile duct diseases Pancreatic diseases Pancreatic ducts
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872001000300010
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spelling	oai:scielo:S0034-988720010003000102001-05-22El síndrome del conducto bilio-pancreático común en adultosHarz B,CarlosRío P,José AntonioQuintana F,FelipeVera P,Emilio Common bile duct diseases Pancreatic diseases Pancreatic ducts Background: The Common Channel Syndrome (CCS) is defined as the union of the biliary and pancreatic ducts outside of the duodenal wall with a common duct more than 15 mm long. It is classified morphologically in types 1 and 2, whether it is the biliary or the pancreatic duct the one that predominates. CCS is uncommon in Western countries. It is described particularly in children and has not yet been reported in Chile. Aim: To report the frequency of CCS among patients subjected to endoscopic retrograde cholangiopancreatography (ERCP). Patients and methods: Between 1992 and 1998, 1860 ERCPs were performed for the diagnosis of biliary or pancreatic diseases. Results: In six patients (0.35%) a CCS was diagnosed (3 type 1 and 3 type 2). All patients presented with pain and three with jaundice. Four patients had a previous cholecystectomy, three due to cholelithiasis and one due to gallbladder cancer. A common bile duct resection and bilioenteric anastomosis was done in three patients with a favorable outcome. Two patients with an advanced age and one with a gallbladder cancer, were not operated. Conclusions: CCS was found in 0.35% of patients subjected to an ERCP. It frequently presents in association with one or more bilio-pancreatic diseases: cholelithiasis, choledocolithiasis, cholangitis, pancreatitis and gallbladder cancer. Resection of the common bile duct and a bilio-enteric anastomosis is proposed as the surgical treatment. (Rev Méd Chile 2001; 129: 299-302)info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.129 n.3 20012001-03-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872001000300010es10.4067/S0034-98872001000300010
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Common bile duct diseases Pancreatic diseases Pancreatic ducts
spellingShingle	Common bile duct diseases Pancreatic diseases Pancreatic ducts Harz B,Carlos Río P,José Antonio Quintana F,Felipe Vera P,Emilio El síndrome del conducto bilio-pancreático común en adultos
description	Background: The Common Channel Syndrome (CCS) is defined as the union of the biliary and pancreatic ducts outside of the duodenal wall with a common duct more than 15 mm long. It is classified morphologically in types 1 and 2, whether it is the biliary or the pancreatic duct the one that predominates. CCS is uncommon in Western countries. It is described particularly in children and has not yet been reported in Chile. Aim: To report the frequency of CCS among patients subjected to endoscopic retrograde cholangiopancreatography (ERCP). Patients and methods: Between 1992 and 1998, 1860 ERCPs were performed for the diagnosis of biliary or pancreatic diseases. Results: In six patients (0.35%) a CCS was diagnosed (3 type 1 and 3 type 2). All patients presented with pain and three with jaundice. Four patients had a previous cholecystectomy, three due to cholelithiasis and one due to gallbladder cancer. A common bile duct resection and bilioenteric anastomosis was done in three patients with a favorable outcome. Two patients with an advanced age and one with a gallbladder cancer, were not operated. Conclusions: CCS was found in 0.35% of patients subjected to an ERCP. It frequently presents in association with one or more bilio-pancreatic diseases: cholelithiasis, choledocolithiasis, cholangitis, pancreatitis and gallbladder cancer. Resection of the common bile duct and a bilio-enteric anastomosis is proposed as the surgical treatment. (Rev Méd Chile 2001; 129: 299-302)
author	Harz B,Carlos Río P,José Antonio Quintana F,Felipe Vera P,Emilio
author_facet	Harz B,Carlos Río P,José Antonio Quintana F,Felipe Vera P,Emilio
author_sort	Harz B,Carlos
title	El síndrome del conducto bilio-pancreático común en adultos
title_short	El síndrome del conducto bilio-pancreático común en adultos
title_full	El síndrome del conducto bilio-pancreático común en adultos
title_fullStr	El síndrome del conducto bilio-pancreático común en adultos
title_full_unstemmed	El síndrome del conducto bilio-pancreático común en adultos
title_sort	el síndrome del conducto bilio-pancreático común en adultos
publisher	Sociedad Médica de Santiago
publishDate	2001
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872001000300010
work_keys_str_mv	AT harzbcarlos elsindromedelconductobiliopancreaticocomunenadultos AT riopjoseantonio elsindromedelconductobiliopancreaticocomunenadultos AT quintanaffelipe elsindromedelconductobiliopancreaticocomunenadultos AT verapemilio elsindromedelconductobiliopancreaticocomunenadultos
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El síndrome del conducto bilio-pancreático común en adultos

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