[ XXXX of the common bile duct, anomaly of the biliopancreatic junction and cancer of the bile ducts].

@entity1 @entity2085 @entity2941 @entity384 @entity189 @entity1126 @entity1086
The choledochus and pancreatic duct ordinarily enter the duodenum either separately or via a common channel located in the duodenal wall. The usual maximal length of the common channel is approximately 0.5 cm. An anomalous junction of the pancreaticobiliary tract is defined by the presence of an unusually long common channel whose length is 1 cm or longer. During the last 8 years, we studied 9 cases of @entity384 of the bile duct. Besides the @entity2941 , all @entity1 had a common channel which measured 1.5 cm or longer. The mean age of @entity1 (6 females, 3 males) was 36.5 years. Three @entity1 had @entity1126 . One @entity1 , a 51-year old @entity1 , had @entity1086 without stones while the two other @entity1 , a 43-year old @entity1 and a 32-year old @entity1 , had @entity189 arising from the wall of the @entity384 . These two @entity1 had undergone a simple internal drainage procedure 16 and 8 years before, respectively. Our study suggests that the anomalous junction of the pancreaticobiliary tract, an @entity2085 which allows the reflux of pancreatic juice into the bile duct and gallbladder, may be responsible for @entity1126 . Total excision of the @entity384 and the gallbladder with hepaticojejunostomy is the appropriate surgical treatment.
