Komi classification of bile duct cysts
Komi classification of bile duct cysts, as stated by Komi et al, divides anomalous union of the pancreatico-bile ducts (AUPBD) into 3 types based on the angle of union of the ducts 1.
type I: union of the ducts at a right angle to each other
- type Ia: without dilatation or
- type Ib: with dilatation of the common channel.
type II: union of the ducts with an acute angle between them
- type IIa: without dilatation (IIA) or
- type IIb: with dilatation of the common channel
type III: comprises of complex patterns of accessory pancreatic ducts, with or without intricate duct networks
- type IIIa: is similar to the classic pancreas divisum with biliary dilatation
- type IIIb: characterised by the absence of the Wirsung’s duct
- type IIIc1: tiny communication exists between the main duct and the accessory ducts
- type IIIc2: comprises of a common channel made up of common and accessory ducts of equal caliber
- type IIIc3: total or partial dilatation of the ductal system
- 1. Lee HK, Park SJ, Yi BH et-al. Imaging features of adult choledochal cysts: a pictorial review. Korean J Radiol. 01;10 (1): 71-80. doi:10.3348/kjr.2009.10.1.71 - Free text at pubmed - Pubmed citation
- 2. Kim, Hyong Wook. A Pancreaticobiliary Maljunction (New Komi Classification, Type IIIc3) with a Choledochal Cyst, Common Bile Duct Stones and Pancreatic Duct Stones. 01;28 (2): 107-111.
- 3. Komi N, Takehara H, Kunitomo K et-al. Does the type of anomalous arrangement of pancreaticobiliary ducts influence the surgery and prognosis of choledochal cyst?. J. Pediatr. Surg. 1992;27 (6): 728-31. Pubmed citation
- 4. Pancreaticobiliary Maljunction. (2002) ISBN:4871513173. Read it at Google Books - Find it at Amazon