Abstract
Biliary stricture due to severe pancreatic disorders such as inflammatory masses or chronic pseudocysts is a recognized complication of chronic pancreatitis (CP). The anatomical relationship of the distal common bile duct with the head of the pancreas is the main factor for its involvement in CP.
Surgical series addressing CP-induced extrapancreatic pathologies report an incidence of duodenal obstruction of approximately 12% (range: 2-36%) (Izbicki et al. 1994; Taylor et al. 1991; Beger et al. 1990; Sugerman et al. 1986; Bradley 1986; Prinz et al. 1985; Warshaw 1985; Grodsinsky and Block 1980; Frey 1978; Frey et al. 1976; Guillemin et al. 1971), whereas that of CBD stenosis is substantially higher at about 30% (range: 15-46%) (Sugerman et al. 1986; Prinz et al. 1985; Grodsinsky and Block 1980; Frey 1978; Huizinga and Baker 1993; Pereira-Lima et al. 1989; Wislooff et al. 1982; Stabile et al. 1987; da Cunha et al. 1984; Lygidakis, 1983 Jun; Gall et al. 1982; Traverso et al. 1979).
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Yekebas, E.F., Dervenis, C., Charnley, R.M., Rau, B.M., Werner, J., Imrie, C.W. (2010). Duodenum-Preserving Pancreatic Resection with Pancreatic Duct Drainage: What Is the Role of Supraduodenal Biliary Drainage?. In: Johnson, C., Imrie, C. (eds) Pancreatic Disease. Springer, London. https://doi.org/10.1007/978-1-84882-118-7_7
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