[The common channel syndrome in adults].
Congenital abnormalities of the distal bile and pancreatic duct occur predominantly as a long common channel. A common channel of more than 15 mm is considered abnormal, since the length allows a reflux of pancreatic secretion into the bile duct and vice versa. The very rare occurrence of a long common channel syndrome in adults has been observed in two female patients (24 and 58 years old). Both presented cholangitis and/or pancreatitis. Diagnosis was established by ERCP. The definitive therapy in both cases was hepatico-jejunal anastomosis which improved symptoms in both patients. Endoscopic sphincterotomy is unsatisfactory since it does not cut the entire common channel. The rare etiology of a long common channel in patients with cholangitis and pancreatitis is safely verified by ERCP and safely cured by surgical intervention.
Jung
M
M
Abteilung für Gastroenterologie, Johann-Wolfgang-Goethe-Universität Frankfurt/Main.
Pimentel
F
F
Winter
J
J
Doertenbach
J
J
D000208:Acute Disease; D000328:Adult; D002760:Cholangiopancreatography, Endoscopic Retrograde; D002761:Cholangitis / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D001651:Cholestasis, Extrahepatic / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D003135:Common Bile Duct / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery; D005260:Female; D006801:Humans; D008875:Middle Aged; D010183:Pancreatic Ducts / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery; D010195:Pancreatitis / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D012008:Recurrence; D012086:Reoperation; D016717:Sphincterotomy, Endoscopic
Das Common-Channel-Syndrom beim Erwachsenen.