Choledochal cysts: analysis of disease pattern and optimal treatment in adult and paediatric patients

Abstract

Although Vancouver does have a large Asian population, this does not explain how common choledochal cysts are in this city. Although some authors argue that paediatric and adult disease are caused by different aetiologies, presentation patterns in our study between the two groups were very similar. We recommend complete cyst excision and Roux-en-Y hepaticojejunostomy as the surgery of choice, and advocate early surgery after diagnosis to promote ease of surgery and prevention of future complications.

A Rare Cause of Neonatal Cholestasis: Type IVA Choledochal Cyst

“…Koledok kistleri neonatal kolestazın ender nedenleri arasındadır ve sıklıkla Tip I koledok kisti şeklindedir. Koledok kistlerinin insidansı 100.000-150.000 canlı doğumda birdir (4) . Hastamız da olduğu gibi kızlarda erkeklere göre 3-4 kat daha fazla görülmektedir.…”

Choledochal cysts in children: Intrahepatic ductal dilatation does not indicate true intrahepatic biliary duct disease

“…Although the incidence of CCs is as high as 1 in 1000 in the Asian population, it is only 1 in 100,000 to 1 in 150,000 in the Western population (1). In Asia, approximately two-thirds of CC diagnoses occur in Japan (2).…”

“…The etiology of CCs remains under speculation, and many theories and explanations have been proposed (1). However, Babbitt's theory remains the most popular and widely accepted (2).…”

Laparoscopic treatment of common bile duct cystic transformation (type II by Todani)

“…КЖП наи-более часто встречаются в восточных странах (1 больной на 1000 населения) и менее распростране-ны в странах Европы и Америки (1 на 100 000 и 1 на 150 000 соответственно) [2,3]. КЖП, как правило, диагностируются в детском возрасте, однако они встречаются и у взрослых [4][5][6].…”