Surgical Management of Chronic Pancreatitis - Department of ...
Surgical Management of Chronic Pancreatitis - Department of ...
Surgical Management of Chronic Pancreatitis - Department of ...
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Cambridge Classification www.downstatesurgery.org<strong>of</strong> Pancreatic Morphology in<strong>Chronic</strong> <strong>Pancreatitis</strong>Cambridge Class Main Pancreatic Duct Abnormal Side BranchesNormal Normal 0Equivocal Normal 3Moderate Abnormal 3Characteristics:• Abnormal MPD• terminates prematurely (abrupt, tapering, irregular)• multiple MPD strictures• MPD dilated >6 mm• ductal filling defects (stones)• intrapancreatic or extrapancreatic “cavities”• contiguous organ involvement (stenoses <strong>of</strong> common bile duct or duodenum, arterial venousfistula)
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