XXXX detected in adults, diagnosed by endoscopic retrograde cholangiopancreatography: report of four cases.

@entity154 @entity20426 @entity788 @entity1066 @entity45 @entity490
Four cases of @entity20426 diagnosed by endoscopic retrograde cholangiopancreatography (ERCP) are described and 105 cases of this @entity154 in adults in Japan were reviewed. Among 105 cases, @entity490 was the most frequent symptom. Concerning associated diseases, peptic @entity1066 was present in 24.8% and @entity788 in 13.3%. In case 1, duodenal @entity1066 and @entity45 were noted. Pancreatolithiasis was found in two cases (case 1 and 2). Case 4 presented the clinical features of acute @entity788 . Out of 105 cases, well-described 26 were divided into six types. The following results were obtained. 1) The most frequent type was that in which the annular duct arose from the duct of Wirsung. 2) The next most frequent type was that in which the main pancreatic duct encircled the duodenum. 3) The other types corresponded to those in which the annular duct arose from the duct of Santorini and the common bile duct. We emphasized that ERCP is the most important procedure to find the characteristic features and to establish the therapeutic strategy in cases of @entity20426 .
