Influence of age on the presentation and outcome of choledochal cyst

Suita, Sachiyo; Shono, Katsuhiro; Kinugasa, Yuki; Kubota, Masayuki; Matsuo, Susumu

doi:10.1016/s0022-3468(99)90308-1

Cited by 77 publications

(70 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The incidence of cholangitis in patients with Caroli's disease can reach 60% 21 . Although there are few reports on the microscopic abnormalities of the liver of patients with choledochal cyst, some studies claim that most patients, even those with prenatal diagnosis or operated in the first year of life, have changes in their liver biopsies as a result of biliary obstruction, with ductular proliferation, fibrosis and even cirrhosis [22][23][24] , agreeing with our results, since only two liver histopathology exams were normal. Not even the patients treated before one year of age showed normal liver histology.…”

Section: Results Results Results Resultssupporting

confidence: 90%

Choledochal cyst in childhood: review of 30 cases

Forny

Ferrante

Silveira

et al. 2014

Rev. Col. Bras. Cir.

View full text Add to dashboard Cite

We observed a marked female predominance (73.4% of cases), the diagnosis being made in the first decade of life in 90% of patients. The most prevalent clinical manifestation was jaundice (70% of cases) and the classic triad of choledochal cyst was not observed. Abdominal ultrasound was the first imaging examination performed, with a sensitivity of 56.6%, with diagnostic definition in 17 children. Two patients (6.6%) had prenatal diagnosis. All patients underwent surgical treatment, cyst resection with Roux-en-Y hepaticojejunostomy being performed in 80% of cases. The incidence of postoperative complications was 13.3% and the mortality rate was 6.6%, ie two patients were diagnosed with Caroli's disease. ConclusionConclusion Conclusion Conclusion Conclusion: The non-observance of the classic triad of choledochal cyst suggests that its incidence is lower than that reported in the medical literature. The surgical treatment of choledochal cysts, with resection and bilioenteric anastomosis, is safe even for small children.

show abstract

Section: Results Results Results Resultssupporting

confidence: 90%

Choledochal cyst in childhood: review of 30 cases

Forny

Ferrante

Silveira

et al. 2014

Rev. Col. Bras. Cir.

View full text Add to dashboard Cite

show abstract

“…5 The primary differential consideration is BA with a cyst (Japanese type I cyst). [6][7][8] This is a critical differential because of the different surgical implications. Patients with BA type I cyst have a very high incidence of hepatic fibrosis.…”

Section: Denouement and Discussionmentioning

confidence: 99%

“…7 Neonatal biliary choledochal cysts even without atresia (those discovered in patients younger than 4 months) have been reported to develop hepatic fibrosis, making early surgical intervention warranted to prevent progression. 6 Figure 2 Intraoperative cystography. Contrast injected into the porta hepatis cyst flows into the slightly dilated intrahepatic biliary tree and into the duodenum and jejunum (black arrow).…”

Section: Denouement and Discussionmentioning

confidence: 99%

Neonatal type 1 choledochal cyst

Herman

Siegel

2007

J Perinatol

View full text Add to dashboard Cite

“…Los quistes de colédoco intra hepáticos pertenecen a desórdenes fibropoliquísticos por probables malformaciones de la placa ductal, mientras que los quistes extrahepáticos se asocian a anomalías en el conducto bilio-pancreático en el 92% de los pacientes 2 , por lo que se piensa que el aumento del reflujo de jugo pancreático dentro del árbol biliar, lleva a la exposición de la pared del conducto común a las enzimas pancreáticas y a un aumento de presión en el colédoco, lo cual resulta en la formación de quistes 4 . Sólo un 20% de los pacientes afectados desarrolla la tríada clásica de ictericia, dolor abdominal y masa en hipocondrio derecho, mientras que la mayoría, presenta alguno de estos síntomas de forma aislada 5 . El objetivo del presente estudio ha sido analizar aquellas variables introducidas por servicio de cirugía pediátrica de nuestro centro, para la optimización en el diagnóstico y tratamiento del quiste de colédoco, basándonos en la revisión de la literatura y en nuestra propia experiencia durante los últimos 24 años.…”

Section: Optimización En La Estrategia Diagnóstica Y Terapéutica En Eunclassified

Optimización en La Estrategia Diagnóstica Y Terapéutica en El Quiste De Colédoco

Vivas-Colmenares

Millán-López

2015

Rev Chil Cir

View full text Add to dashboard Cite

Optimization in diagnostic and therapeutic strategy of choledochal cystObjectives: The choledochal cyst has an incidence of 1 in 100.000-150.000. The purpose of this study was to analyze the variables introduced for the optimization in the diagnosis and treatment of choledochal cyst. material and methods: Retrospective study of patients treated in our center by hepatic-jejunostomy and Roux-Y, from September 1988 to november 2012. We analyzed 40 variables including age, symptoms, type of cysts, diagnostic tests, changes in surgical technique, complications and outcomes. results: Eighteen patients (66.6% female) were grouped according to the age of presentation: Prenatal (< 1 month), Early (1-24), Delayed (> 24 months). The most common symptoms were jaundice and abdominal pain (for early-onset and late-onset respectively). The 83.3% presented choledochal cysts type I, the ultrasound was sufficient for diagnosis in 94.4%. Since 2004 we modified the surgical technique, performing laparoscopic dissection of the bile duct and cyst, adding a mini-laparotomy (3-5 cm) for hepatic-jejunostomy with 40 cm intestinal loop using polypropylene suture. One complication was observed since 2004, one case of partial dehiscence of the anastomosis resolved with conservative treatment and a cholangitis in 1 patient with hepatic and renal polycystic. In 2012, 83.3% are asymptomatic. conclusions: The diagnostic have been simplified, in more than 90% of cases was done by ultrasound; advances in minimally invasive surgery and creation of descending loop of 40 cm, have helped to improve the prognosis of choledochal cyst.

show abstract

Influence of age on the presentation and outcome of choledochal cyst

Cited by 77 publications

References 12 publications

Choledochal cyst in childhood: review of 30 cases

Choledochal cyst in childhood: review of 30 cases

Neonatal type 1 choledochal cyst

Optimización en La Estrategia Diagnóstica Y Terapéutica en El Quiste De Colédoco

Contact Info

Product

Resources

About