Congenital choledochal cysts in adults: twenty-five-year experience

Liu, Ying-bing; Wang, Jianwei; Devkota, K R; Ji, Zhenling; Li, Jiangtao; Wang, Xuan; Ma, Xiaoming; Cai, Wen‐Bin; Kong, Ying; Cao, Liping; Peng, Shu-you

doi:10.1097/00029330-200708020-00005

Cited by 43 publications

(46 citation statements)

References 12 publications

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“…La maladie peut se déclarer à tout âge, mais elle est rencontrée volontiers chez l'enfant et l'adulte jeune, et plus de la moitié des cas sont découverts avant 15 ans, et seulement 8 % des cas après 40 ans [4].…”

Section: Discussionunclassified

“…La survenue d'une angiocholite témoigne d'une complication de la dilatation kystique longtemps supportée [4]. L'association échographie-scanner-cholangio-IRM permet de classer avec précision la dilatation kystique du cholédoque ainsi que de détecter d'éventuelles anomalies Le traitement est chirurgical.…”

Section: Discussionunclassified

“…L'excision la plus totale possible du kyste, suivie d'une anastomose hépaticojéjunale sur anse jéjunale exclue en «Y », est l'intervention de choix pour les dilatations de types I et IV. La transplantation hépatique doit être discutée en cas de cholangite récurrente sur maladie de Caroli de type V [4,7].…”

Section: Discussionunclassified

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Dilatation kystique du cholédoque et maladie de von Recklinghausen

Finech

Narjis

Mansouri

et al. 2011

J Afr Hepato Gastroenterol

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La dilatation kystique du cholédoque est une pathologie rare, plus fréquente chez l'enfant. La symptomatologie clinique est non spécifique. La cholangio-IRM permet le diagnostic ainsi que la stadification précise des lésions. Le traitement est chirurgical. Nous rapportons un cas rare de dilatation kystique du cholédoque chez l'adulte, chez une patiente de 45 ans, porteuse de la maladie de von Recklinghausen. Pour citer cette revue : J. Afr. Hépatol. Gastroentérol. 5 (2011). Mots clés Kyste · Cholédoque · von Recklinghausen · Chirurgie · IctèreAbstract A choledochal cyst is rare, occurring mostly in childhood. Clinical symptoms are non-specific. CholangioMRI had proved her great values in the classification of the disease. The treatment is surgical. We report the rare case of a 45 year old woman with a choledochal cyst, associated with von Recklinghausen syndrome. To cite this journal: J. Afr. Hépatol. Gastroentérol. 5 (2011).

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Section: Discussionunclassified

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Dilatation kystique du cholédoque et maladie de von Recklinghausen

Finech

Narjis

Mansouri

et al. 2011

J Afr Hepato Gastroenterol

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“…Since then, a substantial number of recurrent malignancy was reported, which led to more extensive surgical approaches [4,22,46,50].…”

Section: Treatmentmentioning

confidence: 99%

“…Postoperative morbidity is reported in 29-50% of patients, with a clear domination of adults (41 vs. 6%). The most frequent complications are cholangitis (5-8%), intraabdominal abscess (7%), bile leak (7%), wound infection (7%), pancreatitis (5%) ( Table 2) [5,12,22,54,57,58].…”

Section: Types I and Ivmentioning

confidence: 99%

Recent developments in the diagnosis and treatment of bile duct cysts: a review

et al. 2011

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Meta-analysis of risk of developing malignancy in congenital choledochal malformation

Hove

Meijer

Hulscher

et al. 2018

British Journal of Surgery

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BackgroundCholedochal malformations comprise various congenital cystic dilatations of the extrahepatic and/or intrahepatic biliary tree. Choledochal malformation is generally considered a premalignant condition, but reliable data on the risk of malignancy and optimal surgical treatment are lacking. The objective of this systematic review was to assess the prevalence of malignancy in patients with choledochal malformation and to differentiate between subtypes. In addition, the risk of malignancy following cystic drainage versus complete cyst excision was assessed.MethodsA systematic review of PubMed and Embase databases was performed in accordance with the PRISMA statement. A meta‐analysis of the risk of malignancy following cystic drainage versus complete cyst excision was undertaken in line with MOOSE guidelines. Prevalence of malignancy was defined as the rate of biliary cancer before resection, and malignant transformation as new‐onset biliary cancer after surgery.ResultsEighteen observational studies were included, reporting a total of 2904 patients with a median age of 36 years. Of these, 312 in total developed a malignancy (10·7 per cent); the prevalence of malignancy was 7·3 per cent and the rate of malignant transformation was 3·4 per cent. Patients with types I and IV choledochal malformation had an increased risk of malignancy (P = 0·016). Patients who underwent cystic drainage had an increased risk of developing biliary malignancy compared with those who had complete cyst excision, with an odds ratio of 3·97 (95 per cent c.i. 2·40 to 6·55).ConclusionThe risk of developing malignancy among patients with choledochal malformation was almost 11 per cent. The malignancy risk following cystic drainage surgery was four times higher than that after complete cyst excision. Complete surgical resection is recommended in patients with choledochal malformation.

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Congenital choledochal cysts in adults: twenty-five-year experience

Cited by 43 publications

References 12 publications

Dilatation kystique du cholédoque et maladie de von Recklinghausen

Dilatation kystique du cholédoque et maladie de von Recklinghausen

Recent developments in the diagnosis and treatment of bile duct cysts: a review

Meta-analysis of risk of developing malignancy in congenital choledochal malformation

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