{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T14:49:24Z","timestamp":1786978164968,"version":"build-2736575974"},"reference-count":26,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2017,7,31]],"date-time":"2017-07-31T00:00:00Z","timestamp":1501459200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Hepato Biliary Pancreat"],"published-print":{"date-parts":[[2017,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>\n                      In 2015, the Committee on Diagnostic Criteria of the Japanese Study Group on Pancreaticobiliary Maljunction (\n                      <jats:styled-content style=\"fixed-case\">PBM<\/jats:styled-content>\n                      ) proposed a classification of\n                      <jats:styled-content style=\"fixed-case\">PBM<\/jats:styled-content>\n                      into four types: (A) stenotic type, (B) non\u2010stenotic type, (C) dilated channel type, and (D) complex type. To validate this classification and clarify the clinical features of the four types of\n                      <jats:styled-content style=\"fixed-case\">PBM<\/jats:styled-content>\n                      , a retrospective multicenter study was conducted.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      The study group of 317 children with\n                      <jats:styled-content style=\"fixed-case\">PBM<\/jats:styled-content>\n                      was divided into the four types of\n                      <jats:styled-content style=\"fixed-case\">PBM<\/jats:styled-content>\n                      . Clinical features, preoperative complications, operations, and postoperative pancreatic complications were evaluated.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>All patients underwent excision of the extrahepatic bile duct. In type A, the age was younger and there was a higher incidence of cystic dilatation. Non\u2010dilatation of the common bile duct was frequently seen in type B. Abdominal pain with hyperamylasemia was frequently seen in types B and C. In particular, the incidence of protein plugs and biliary perforation was high in type C (56.1% and 14.3%, respectively). The overall incidence of acute pancreatitis was 7.3%. Pancreatitis after excisional surgery was rare in the children in this study. Two patients with type D (0.6%) developed chronic pancreatitis postoperatively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This proposed classification is simple and correlates well with clinical features.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jhbp.485","type":"journal-article","created":{"date-parts":[[2017,6,21]],"date-time":"2017-06-21T20:43:14Z","timestamp":1498077794000},"page":"449-455","source":"Crossref","is-referenced-by-count":70,"title":["Classification of pancreaticobiliary maljunction and clinical features in children"],"prefix":"10.1002","volume":"24","author":[{"given":"Naoto","family":"Urushihara","sequence":"first","affiliation":[{"name":"The Committee on Diagnostic Criteria of the Japanese Study Group on Pancreaticobiliary Maljunction The Com The Com"},{"name":"Department of Pediatric Surgery Shizuoka Children's Hospital Shizuoka 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