Many faces of pancreaticobiliary reflux

Nicholas E. Williams, Justin S. Gundara, Thomas J. Hugh, Jaswinder S. Samra*

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

7 Citations (Scopus)


Pancreaticobiliary reflux may occur either as a result of an anatomically abnormal pancreaticobiliary junction or because of a functionally impaired sphincter despite a normal radiological appearance. 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-recognized disorder and review the related management issues.

Original languageEnglish
Pages (from-to)403-407
Number of pages5
JournalANZ Journal of Surgery
Issue number6
Publication statusPublished - Jun 2012
Externally publishedYes


  • Cholangiogram
  • Choledochal cyst
  • Gall bladder carcinoma
  • Pancreaticobiliary maljunction
  • Pancreaticobiliary reflux


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