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  • Title: Pancreatic duct obstruction triggers acute necrotizing pancreatitis in the opossum.
    Author: Lerch MM, Saluja AK, Rünzi M, Dawra R, Saluja M, Steer ML.
    Journal: Gastroenterology; 1993 Mar; 104(3):853-61. PubMed ID: 7680018.
    Abstract:
    BACKGROUND: The common channel theory suggests that bile reflux, through a common biliopancreatic channel, triggers acute pancreatitis. In the present study, this controversial issue was evaluated using an experimental model of hemorrhagic necrotizing pancreatitis. METHODS: American opossums underwent ligation of the pancreatic duct alone, bile and pancreatic duct separately, or common biliopancreatic duct; the severity of pancreatitis was evaluated at selected times after ligation. RESULTS: Animals in all three experimental groups developed hemorrhagic necrotizing pancreatitis; the severity of pancreatitis was similar in each group, although only those subjected to common biliopancreatic duct ligation experienced bile reflux. CONCLUSIONS: Bile reflux into the pancreatic duct, via a common biliopancreatic channel, is not necessary for the development of pancreatitis and does not worsen the severity of pancreatitis associated with pancreatic duct obstruction in this model.
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