Summary and conclusions
1. In order to study the organic lesions of the distal common bile duct and ampulla of Vater, the authors performed histologic examination of that region in 23 surgical cases. In most there had been persistence of symptoms after cholecystectomy. Stenosis of the distal common bile duct had been demonstrated by intravenous cholangiography and surgical exploration.
2. For an exact evaluation of the pathologic changes encountered in this region, a comparison was made between the findings of these surgical cases and the findings for 20 specimens obtained by autopsy in normal subjects and 2 surgical specimens of patients with no history of biliarytract disease.
3. The study demonstrates and defines the lesions (muscular hypertrophy and fibrosis) of the region of the ampulla of Vater and distal common bile duct that occur in patients with biliary-tract disease in whom it was not possible to pass a 3-mm. dilator through the papilla into the duodenum (stenosing odditis). In 22 patients without biliary-tract disease no pathologic changes were encountered.
This is a preview of subscription content, log in to check access.
Buy single article
Instant access to the full article PDF.
Price includes VAT for USA
Subscribe to journal
Immediate online access to all issues from 2019. Subscription will auto renew annually.
This is the net price. Taxes to be calculated in checkout.
Henderson Cited byDel Vallf.
Florken Cited byDel Vallf.
Del Valle, D. Patologia del esfincter de Oddi.Rev. brasil med. pharm. 4:489, 1928.
Del Valld, D. Patologia y Cirurgia del Esfincter de Oddi. Buenos Aires, Argentina, El Ateneo, 1939, vol. 1.
Cattell, R. B., Colcock, B. P., andPollack, J. L. Stenosis of the sphincter of Oddi.New England J. Med. 256:429, 1957.
Nuboer, J. E. Die. Alterveränderungen der extrahepatischen Gallenwege.Frankfurt Ztschr. Path. 42:192, 1931.
Smanio, T. Varying relations of the common duct with the posterior face of pancreatic head in Negroes and white persons.J. Internat. Coll. Surgeons 22:150, 1954.
Hollinshead, W. H. The lower part of the common bile duct: A review.S. Clin. North America, August, 1957, p. 939.
Hornykiewytsch, T. Colangiografia intravenosa. Madrid, Spain, Alhambra, 1957, vol. 1.
Paulino, F., andPernambuco, P. Técnica da colecistectomia e coledocostomia.Rev. brasil cir. 31:319, 1956.
Boyden, E. A. The anatomy of the choledochoduodenal junction in man.Surg. Gynec. & Obst. 104:641, 1957.
Cole, W. H., andGrove, W. J. Persistence of symptoms following cholecystectomy with special reference to anomalies of the ampulla of Vater.Ann. Surg. 136:73, 1952.
Millbourn, E. Gallensteinchirurgie: Eine Studie, auf Basis 419 Patienten, während einer Zweijahrperiode operiert.Fortschr. Med. 73:57, 1955.
Wise, R. E., andO'Brien, R. G. Interpretation of intravenous cholangiogram.J.A.M.A. 160:819, 1956.
Baggenstoss, A. H. Major duodenal papilla: Variations of pathologic interest and lesions of the mucosa.Arch. Path. 26:853, 1938.
The authors wish to express their appreciation to Drs. A. Paulino-Netto and David A. Dreiling of the Department of Surgery, The Mt. Sinai Hospital, New York, for the translation of this paper from Portuguese.
About this article
Cite this article
Paulino, F., Cavalcanti, A. Anatomy and pathology of the distal common duct. Digest Dis Sci 5, 697–713 (1960). https://doi.org/10.1007/BF02231111
- Public Health
- Bile Duct
- Histologic Examination
- Common Bile Duct
- Pathologic Change