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World J Clin Cases. Aug 6, 2022; 10(22): 7642-7652
Published online Aug 6, 2022. doi: 10.12998/wjcc.v10.i22.7642
Application of imaging techniques in pancreaticobiliary maljunction
Jin-Ye Wang, Pei-Yuan Mu, Ye-Kai Xu, Yuan-Yuan Bai, Dong-Hua Shen
Jin-Ye Wang, Department of Hepatobiliary Surgery, Postgraduate Training Base of Jinzhou Medical University, The PLA Rocket Force Characteristic Medical Center, Beijing 100088, China
Pei-Yuan Mu, Ye-Kai Xu, Yuan-Yuan Bai, Department of Hepatobiliary Surgery, The PLA Rocket Force Characteristic Medical Center, Beijing 100088, China
Dong-Hua Shen, Department of Ultrasound, The PLA Rocket Force Characteristic Medical Center, Beijing 100088, China
Author contributions: Wang JY and Mu PY as the co-first authors contributed equally to this work; Wang JY reviewed and searched the literature, analyzed and interpreted the imaging findings, drafted the manuscript, and gave critical comments; Xu YK, Bai YY, and Shen DH gave critical comments and contributed equally to this work.
Conflict-of-interest statement: The authors declare that they have no conflict of interest to disclose.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Pei-Yuan Mu, MD, PhD, Chief Physician, Department of Hepatobiliary Surgery, The PLA Rocket Force Characteristic Medical Center, No. 16 Xinjiekouwai Street, Beijing 100088, China. pymu@sina.com
Received: January 30, 2022
Peer-review started: January 30, 2022
First decision: April 10, 2022
Revised: April 19, 2022
Accepted: June 16, 2022
Article in press: June 16, 2022
Published online: August 6, 2022
Abstract

Imaging techniques are useful tools in the diagnosis and treatment of pancreaticobiliary maljunction (PBM). PBM is a precancerous lesion often relative to the disease of the pancreas and biliary tract, for example, cholecystolithiasis, protein plugs, and pancreatitis. For patients with PBM, early diagnosis and timely treatment are highly important, which is largely dependent on imaging techniques. The continuous development of imaging techniques, including endoscopic retrograde cholangiopancreatography, magnetic resonance cholangiopancreatography, computed tomography, ultrasound, and intraoperative cholangiography, has provided appropriate diagnostic and therapeutic tools for PBM. Imaging techniques, including non-invasive and invasive, have distinct advantages and disadvantages. The purpose of this paper is to review the application of various imaging techniques in the diagnosis and treatment of PBM.

Keywords: Pancreaticobiliary maljunction, Endoscopic retrograde cholangiopancreatography, Magnetic resonance cholangiopancreatography, Ultrasound, Computed tomography, Intraoperative cholangiography

Core Tip: Pancreaticobiliary maljunction (PBM) is a congenital structural abnormality, which is one of the risk factors for many pancreaticobiliary diseases such as cholangitis, pancreatitis, cholangiocarcinoma, and gallbladder cancer. Early diagnosis of PBM is a procedure to improve the prognosis of PBM, which is closely related to the development of various imaging techniques. Imaging techniques can achieve the purpose of early diagnosis and timely treatment, which highlights the significance of imaging techniques.