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Anatomy and pathology of the distal common duct

Special reference to stenosing odditis

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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.

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Additional information

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.

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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

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  • Public Health
  • Bile Duct
  • Histologic Examination
  • Common Bile Duct
  • Pathologic Change