CONGENITAL BILIARY DILATATION WITH PANCREATICOBILIARY MALJUNCTION - ACOMPARATIVE-STUDY BETWEEN CHILDREN AND ADULTS

A comparative study of congenital biliary dilatation with pancreatico- biliary maljunction in 15 children and 16 adults was undertaken. Cysti c and fusiform dilatation of the common bile duct was seen in 9 and 6 cases respectively in the child group, with 8 and 8 cases respectively in the adult group. Cholangiographically, neither the length of the c ommon channel nor the type of pancreatico-ductal union varied signific antly between groups. Furthermore the incidence of higher amylase leve ls of bile showed no apparent variance from group to group. This was a lso true when looking histologically at the number and distribution of periductal glands surrounding the intra-hepatic bile duct. Therefore, we concluded that there was no essential etiological difference betwe en the two groups.