Skip to main content
Log in

Summary

1. Sphincter spasm stops pancreatic ductal reflux instead of producing it.

2. Pancreatic reflux may be explained as a phenomenon of hydrodynamics produced when the ampullary sphincter is relaxed and the flow is increased in the ampullary channel.

3. Spasm of the sphincter of Oddi will produce pancreatic reflux only in very rare instances of abnormal configuration of the ampulla of Vater, i.e., high confluence of the two ducts.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Opie, E. L. The relationship of cholelithiasis to disease of the pancreas and to fat necrosis.Am. J. M. Sc. 121:27, 1901.

    Google Scholar 

  2. Archibald, E. The experimental production of pancreatitis in animals as the result of resistance of the common duct sphincter.Surg. Gynec. & Obstet. 28:529, 1919.

    Google Scholar 

  3. Colp, R., andDoubilet, H. The clinical significance of pancreatic reflux.Ann. Surg. 108:243, 1938.

    Google Scholar 

  4. Doubilet, H. Pancreatic reflux deliberately produced.Surg. Gynec & Obstet. 84:710, 1947.

    Google Scholar 

  5. Doubilet, H., andMulholland, J. H. Recurrent acute pancreatitis. Some observations on etiology and treatment.Ann. Surg. 128:609, 1948.

    Google Scholar 

  6. Mallet-Guy, P., andGiuria, F. Reflux wirsungien et pancréatites. Analyse d'une deuxième série de 400 cas de reflux colangiographiques dans le canal de wirsung (1947–1956).Lyon chir. 53:481, 1957.

    Google Scholar 

  7. Caroli, J., Porcher, P., Pequignot, G., andDelattre, M. Contribution of cineradiography to study of the function of the human biliary tract.Am. J. Digest. Dis. 5: 677, 1960.

    Google Scholar 

  8. Boyden, E. A. The anatomy of the choledochoduodenal junction in man.Surg. Gynec. & Obstet. 104:641, 1957.

    Google Scholar 

  9. Millbourn, E. Gallensteinchirurgie: Eine studie, auf basis 419 patienten, während einer zweijahrperiode operreit.Fortschr. Med. 73:57, 1955.

    Google Scholar 

  10. Paulino, F., andCavalcanti, A. R. Anatomy and pathology of the distal common duct.Am. J. Digest. Dis. 5:697, 1960.

    Google Scholar 

  11. Bottin, J. Le reflux de bile ou le reflux de suc duod énal dans la necrose aigüe du pancréas.Presse. med. 15: 181, 1940.

    Google Scholar 

  12. Pfeffer, R. B., Stasior, O., andHinton, J. W. The clinical picture of the sequential development of acute hemorrhagic pancreatitis.Surg. Forum 8:258, 1957.

    Google Scholar 

  13. Dreiling, D. A., Kirschner, P. A., andNemser, H. Chronic duodenal obstruction: A mechano-vascular etiology of pancreatitis. I. Report of 6 cases illustrating this clinical variety.Am. J. Digest. Dis. 5:991, 1960.

    Google Scholar 

  14. Paulino-Netto, A., andDreiling, D. A. Chronic duodenal obstruction: A mechanovascular etiology of pancreatitis. II. Experimental observations.Am. J. Digest. Dis. 5:1006, 1960.

    Google Scholar 

  15. Berman, L. G., Prior, J. T., Abramow, S. M., andZiegler, D. D. A study of the pancreatic duct system in man by the use of vinyl acetate casts of postmortem preparations.Surg. Gynec. & Obstet. 110:391, 1960.

    Google Scholar 

  16. Silva, L. de C, Sao Thiago, J. B., Ferrarini, E., andGoffi, F. S. The percutaneous transhepatic approach of the portal vein in man in the determination of patency of splenorenal shunts.Surgery 50:473, 1961.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Paulino-Netto, A., Paulino, F. Pancreatic ductal reflux. Digest Dis Sci 8, 666–672 (1963). https://doi.org/10.1007/BF02290203

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02290203

Keywords

Navigation