What is Pancreaticobiliary disease?

Pancreaticobiliary disorders include tumors, obstruction, and injury of the pancreas and bile ducts. MaineHealth has skilled doctors who treat the pancreas and bile ducts.

What are pancreatic ducts?

The pancreatic duct, or duct of Wirsung (also, the major pancreatic duct due to the existence of an accessory pancreatic duct), is a duct joining the pancreas to the common bile duct. This supplies it with pancreatic juice from the exocrine pancreas, which aids in digestion.

What is pancreatic biliary cancer?

Biliary tract cancers, also called cholangiocarcinomas, refer to those malignancies occurring in the organs of the biliary system, including pancreatic cancer, gallbladder cancer, and cancer of bile ducts. In the United States, an estimated 20,000 new cases of liver and biliary tract cancer are diagnosed annually.

What is a choledochal cyst?

A choledochal cyst is a congenital anomaly of the duct (tube) that transports bile from the liver to the gall bladder and small intestine. The liver produces bile to help digest food. When a child has a choledochal cyst, a swelling of that duct, bile may back up in the liver.

Can you live without a pancreas?

Yes, you can live without a pancreas. Many modern pancreas surgeries don’t involve removal of the entire pancreas. Even without a pancreas, you can make modifications to your lifestyle to compensate for the lack of hormone and enzyme production and secretion.

What are bile ducts?

About the bile ducts The bile ducts are a series of thin tubes that go from the liver to the small intestine. Their main job is to allow a fluid called bile to go from the liver and gallbladder into the small intestine, where it helps digest the fats in food.

How can you tell if you have a blocked bile duct?

Symptoms

  1. Abdominal pain in the upper right side.
  2. Dark urine.
  3. Fever.
  4. Itching.
  5. Jaundice (yellow skin color)
  6. Nausea and vomiting.
  7. Pale-colored stools.

What will happen if the pancreatic duct is blocked?

When the bile ducts are blocked, retention of bile salts in the blood can result also in considerable itching (pruritus). Blockage of the bile ducts or pancreatic ducts can cause pain due to overdistention. Lack of insulin secretion by the pancreas results in diabetes.

Does a blocked bile duct mean cancer?

When the bile duct is blocked, the liver cannot excrete bile. This makes bile back up into the bloodstream and can cause jaundice. However, it’s important to note that a blockage is not always a cancerous tumor.

What is the most common type of choledochal cyst?

Type I cysts (see image below) are the most common and represent 80-90% of choledochal cysts. They consist of saccular or fusiform dilatations of the common bile duct, which involve either a segment of the duct or the entire duct. They do not involve the intrahepatic bile ducts.

What is a Type 2 choledochal cyst?

Type II choledochal cysts (see image below) appear as an isolated true diverticulum protruding from the wall of the common bile duct. The cyst may be joined to the common bile duct by a narrow stalk.

What are the symptoms of an anomalous pancreaticobiliary junction?

An anomalous pancreaticobiliary junction describes the abnormal junction of the pancreatic duct and common bile duct that occurs outside the duodenal wall to form a long common channel (> 15 mm). The anomalous junction is often associated with a choledochal cyst or a biliary tract carcinoma and predisposes to acute pancreatitis.

Where does an anomalous pancreatic duct and bile duct junction occur?

An anomalous pancreaticobiliary junction describes the abnormal junction of the pancreatic duct and common bile duct that occurs outside the duodenal wall to form a long common channel (> 15 mm).

Are there congenital pancreatic and biliary anomalies?

Congenital pancreatic and biliary anomalies are abnormalities not infrequently encountered at radiologic examination. Radiologists need to be familiar with these entities, the methods available for their study, and their variable imaging manifestations.

Are there two types of pancreatic cancer without biliary dilatation?

It can be divided into 2 types: without biliary dilatation: the main symptom is abdominal pain. It is more difficult to diagnose as there is no biliary dilatation synchronous biliary cancer: rare 6,7 with increased incidence on coexistence with biliary dilatation, especially Todani type I