{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T02:57:46Z","timestamp":1789441066687,"version":"build-2803163510"},"reference-count":25,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2016,9,12]],"date-time":"2016-09-12T00:00:00Z","timestamp":1473638400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2016,9,12]],"date-time":"2016-09-12T00:00:00Z","timestamp":1473638400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2017,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Pancreaticobiliary maljunctions (PBMs) are congenital anomalies of the junction between pancreatic and bile ducts, frequently associated with bile duct cyst (BDC). BDC is congenital biliary tree diseases that are characterized by distinctive dilatation types of the extra\u2010 and\/or intrahepatic bile ducts. Todani\u2019s types I and IVa, in which dilatation involves principally the main bile duct, are the most frequent. PBM induces pancreatic juice reflux into the biliary tract that is supposed to be one of the main factors of biliary cancer degeneration, although the diagnostic criteria of PBM that can be either morphological and\/or functional are not well defined especially in Western series.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The aim of this study was to assess the relative prevalence of PBM in BDC in a large European multicenter study, to analyze the characteristics of PBM and try to propose diagnostic criteria of PBMs based on morphological and\/or functional criteria and define the positive, negative predictive values, sensibility and specificity of either criteria.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>From 1975 to 2012, 263 patients with BDC were analyzed. Among them, 190 (72.2 %) were considered to present PBM. Types I and IVa had a similar rate of PBM association. According to the \u201cAFC classification,\u201d 57.2 % had a C\u2013P type, 34.5 % a P\u2013C type and 8.3 % a complex type (\u201canse\u2010de\u2010seau\u201d). The median length of the common channel in patients with PBM was 15.8 \u00b1 6.8\u00a0mm (range 5\u201340\u00a0mm). The median intrabiliary amylase and lipase levels were 65,249 and 172,104 UI\/L, respectively. For the diagnostic of PBM, a common channel length of more than 8\u00a0mm and an intrabiliary amylase level superior to 8000 UI\/L were associated with a predictive positive value and a specificity of more than 90 %. Synchronous biliary cancer had an incidence of 8.7 % in all patients with BDC and PBM 11.1 % in adults. Compared to type IV, the type I BDC was associated with statistically more cancer patients in the presence of PBM.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Characteristics of PBM associated with BDC in Western population are quite close to reported Eastern series. The results suggest considering both the intrabiliary value of amylase &gt;8000 UI\/L and a length of a common channel &gt;8\u00a0mm as appropriate values for positive diagnosis of PBM.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00268-016-3684-x","type":"journal-article","created":{"date-parts":[[2016,9,12]],"date-time":"2016-09-12T12:37:50Z","timestamp":1473683870000},"page":"538-545","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":48,"title":["Pancreaticobiliary Maljunctions in European Patients with Bile Duct Cysts: Results of the Multicenter Study of the French Surgical Association (AFC)"],"prefix":"10.1002","volume":"41","author":[{"given":"Emilia","family":"Ragot","sequence":"first","affiliation":[{"name":"Department of HPB Surgery H\u00f4pital Beaujon Clichy France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean\u2010Yves","family":"Mabrut","sequence":"additional","affiliation":[{"name":"Department of Digestive Surgery and Hepatic Transplantation H\u00f4pital de la Croix\u2010Rousse Lyon France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mehdi","family":"Oua\u00efssi","sequence":"additional","affiliation":[{"name":"Department of Digestive and Oncological Surgery H\u00f4pital Timone Marseille France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alain","family":"Sauvanet","sequence":"additional","affiliation":[{"name":"Department of HPB Surgery H\u00f4pital Beaujon Clichy France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Safi","family":"Dokmak","sequence":"additional","affiliation":[{"name":"Department of HPB Surgery H\u00f4pital Beaujon Clichy France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gennaro","family":"Nuzzo","sequence":"additional","affiliation":[{"name":"Department of HPB Surgery H\u00f4pital Gemelli Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nermin","family":"Halkic","sequence":"additional","affiliation":[{"name":"Department of Digestive Surgery Centre Hospitalier Universitaire Vaudois Lausanne Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Remi","family":"Dubois","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery H\u00f4pital Femme\u2010M\u00e8re\u2010Enfant Lyon France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian","family":"L\u00e9toublon","sequence":"additional","affiliation":[{"name":"Department of Digestive Surgery H\u00f4pital Michallon Grenoble France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Cherqui","sequence":"additional","affiliation":[{"name":"Paul Brousse University Hospital Villejuif France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Azoulay","sequence":"additional","affiliation":[{"name":"Department of Digestive and HPB Surgery H\u00f4pital Henri Mondor Creteil France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sabine","family":"Irtan","sequence":"additional","affiliation":[{"name":"Department of Pediatric Digestive Surgery H\u00f4pital Necker Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karim","family":"Boudjema","sequence":"additional","affiliation":[{"name":"Rennes University Hospital Rennes France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fran\u00e7ois\u2010Ren\u00e9","family":"Pruvot","sequence":"additional","affiliation":[{"name":"Department of Digestive Surgery and Transplantation H\u00f4pital Claude Huriez Lille France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean\u2010Fran\u00e7ois","family":"Gigot","sequence":"additional","affiliation":[{"name":"Department of Abdominal Surgery and Transplantation Cliniques Universitaires Saint Luc Brussels Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Reza","family":"Kianmanesh","sequence":"additional","affiliation":[{"name":"Department of Digestive and Endocrine Surgery Hospital Robert Debr\u00e9 Ave du General Koenig 51090 Reims France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"Working Group of the French Surgical Association","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mustapha","family":"Adham","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexandre","family":"Doussot","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sophie","family":"Branchereau","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmet","family":"Ayav","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pierre","family":"Balladur","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ren\u00e9","family":"Adam","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roberto I.","family":"Troisi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marc\u2010Amiens","family":"Regimbeau Jean","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pietro","family":"Majno","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniele","family":"Sommacale","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chafik","family":"Bouzid","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Massimo","family":"Falconi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,9,12]]},"reference":[{"key":"e_1_2_8_2_2","doi-asserted-by":"publisher","DOI":"10.1136\/adc.2010.195974"},{"key":"e_1_2_8_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002\u20109610(77)90359\u20102"},{"key":"e_1_2_8_4_2","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.2011.243"},{"key":"e_1_2_8_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00268\u2010011\u20101009\u20107"},{"key":"e_1_2_8_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002\u20109610(84)90139\u20109"},{"key":"e_1_2_8_7_2","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.128.4.571"},{"issue":"12","key":"e_1_2_8_8_2","first-page":"849","article-title":"Congenital cystic dilatation of the common bile duct, anomaly of the biliopancreatic junction and cancer of the bile ducts","volume":"11","author":"Baumann R","year":"1987","journal-title":"Gastroenterol Clin Biol"},{"key":"e_1_2_8_9_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00534\u2010002\u20100741\u20107"},{"key":"e_1_2_8_10_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00535\u2010012\u20100611\u20102"},{"key":"e_1_2_8_11_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF02776798"},{"key":"e_1_2_8_12_2","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000000269"},{"key":"e_1_2_8_13_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00534\u2010013\u20100606\u20102"},{"key":"e_1_2_8_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022\u20103468(85)80239\u20106"},{"key":"e_1_2_8_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022\u20103468(86)80214\u20107"},{"key":"e_1_2_8_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2003.08.026"},{"key":"e_1_2_8_17_2","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.171.5.9798883"},{"key":"e_1_2_8_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.pedneo.2011.08.006"},{"key":"e_1_2_8_19_2","doi-asserted-by":"publisher","DOI":"10.1136\/gut.31.10.1144"},{"issue":"4","key":"e_1_2_8_20_2","first-page":"196","article-title":"Pancreato\u2010biliary maljunctions and congenital cystic dilatation of the bile ducts in adults","volume":"138","author":"Kianmanesh R","year":"2001","journal-title":"J Chir"},{"key":"e_1_2_8_21_2","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.14.6622"},{"key":"e_1_2_8_22_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00534\u2010010\u20100282\u20104"},{"key":"e_1_2_8_23_2","doi-asserted-by":"publisher","DOI":"10.1007\/s005340200004"},{"key":"e_1_2_8_24_2","doi-asserted-by":"publisher","DOI":"10.1007\/s005340070003"},{"key":"e_1_2_8_25_2","first-page":"61","article-title":"Carcinoma related to choledochal cysts with internal drainage operations","volume":"164","author":"Todani T","year":"1987","journal-title":"Surg Gynecol Obstet"},{"key":"e_1_2_8_26_2","doi-asserted-by":"publisher","DOI":"10.1002\/1097\u20100142(197708)40:2<880::AID\u2010CNCR2820400242>3.0.CO;2\u2010X"}],"container-title":["World Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s00268-016-3684-x.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1007\/s00268-016-3684-x\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s00268-016-3684-x.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1007\/s00268-016-3684-x","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,12,26]],"date-time":"2023-12-26T10:14:06Z","timestamp":1703585646000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1007\/s00268-016-3684-x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,9,12]]},"references-count":25,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2017,2]]}},"alternative-id":["10.1007\/s00268-016-3684-x"],"URL":"https:\/\/doi.org\/10.1007\/s00268-016-3684-x","archive":["Portico"],"relation":{},"ISSN":["0364-2313","1432-2323"],"issn-type":[{"value":"0364-2313","type":"print"},{"value":"1432-2323","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,9,12]]}}}