Review for 10.1186/s12876-022-02278-x (2022)

Reviewer’s report
Title: 
Todani type III - like biliary dilatation with duodenal prolapse: A case
report
Version: 
0 
Date: 
30 Jan 2022
Reviewer's report:
This case is a very rare pancreaticobiliary maljunction (PBM) with congenital
biliary dilatation (CBD).
The author writes that the dilated bile duct remnants were sutured and closed, but
I think there is a risk of future bile duct cancer.
I think that even the surgical procedure in this case will result in pancreatic duct
injury and future risk of pancreatitis.
As the author points out, complete surgical resection of dilated bile duct is the
best treatment in PBM with CBD.
In this case, there is a large intrapancreatic dilated bile duct including the
pancreaticobiliary junction, and pancreaticoduodenectomy is recommended.
In this presentation, it is unclear about the confluence of the pancreatic duct to
the bile duct after all.
The procedure of this operation is not clear from the intraoperative photographs
alone, so it is necessary to explain it in the scheme.
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