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It is associated with a wide spectrum of biliary diseases, including gall bladder and bile duct carcinoma. Pancreaticobiliary maljunction and related biliary reflux have been studied extensively in Southeast Asian populations and associations with choledochal cyst and biliary malignancy defined. However, reflux in the absence of ductal malunion has only been described relatively recently and its significance with respect to biliary malignancy requires clarification. We present four cases of pancreaticobiliary reflux to demonstrate the varied associations of this under\u2010recognized disorder and review the related management issues.<\/jats:p>","DOI":"10.1111\/j.1445-2197.2012.06076.x","type":"journal-article","created":{"date-parts":[[2012,5,2]],"date-time":"2012-05-02T11:15:34Z","timestamp":1335957334000},"page":"403-407","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Many faces of pancreaticobiliary reflux"],"prefix":"10.1111","volume":"82","author":[{"given":"Nicholas E.","family":"Williams","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Justin S.","family":"Gundara","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas J.","family":"Hugh","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jaswinder S.","family":"Samra","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2012,5,2]]},"reference":[{"key":"e_1_2_7_2_2","first-page":"1413","article-title":"A case of cystic dilatation of the common bile duct and etiology of the disease (in Japanese)","volume":"30","author":"Kozumi K","year":"1916","journal-title":"Tokyo Med. 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