Choledochal Cysts in Children: Epidemiology and Outcomes

Singhavejsakul, Jesda; Ukarapol, Nuthapong

doi:10.1007/s00268-008-9582-0

Cited by 21 publications

(21 citation statements)

References 18 publications

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“…Additionally, Mishra et al [15] observed a prevalence of cyst type IC in the infant group and of type IF in the older group; whether this difference in cyst type I prevalence derives from the fact that their subjects resided in India rather than Taiwan is unclear. In agreement with the present report, Singhavejsakul and Ukarapol [21] reported that cyst type I was most common among children in Thailand, followed by cyst type IV.…”

Section: Discussionsupporting

confidence: 93%

“…For example, children tend to present with such features as abdominal pain, jaundice, and abdominal mass whereas adults present more often with common biliary or infectious complications and tend to develop choledocholithiasis, malignant transformation, and perioperative and long-term complications more frequently [3,10,15,17,21]. Additionally, the clinical and operative findings for neonates/ infants with choledochal cysts differ from those for the classical pediatric group or for adults with these cysts.…”

Section: Introductionmentioning

confidence: 82%

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Choledochal cysts in infants and children: experiences over a 20-year period at a single institution

et al. 2011

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This analysis was undertaken to compare the clinicopathological features of infants with choledochal cysts to those of older children with these entities and to evaluate the surgical outcomes for both subject groups. The medical records of all children admitted to the Cathay General Hospital with choledochal cysts over a 20-year period were retrospectively reviewed. Twenty-five subjects were included and divided into the infant (<1 year at presentation; 8 subjects) and classical pediatric (1-18 years at presentation; 17 subjects) groups. Anatomical subtypes were: IA (16), IC (6), and IVA (3). The median biliary amylase value was markedly elevated for the pediatric group but not for the infant group. Most (82.4%) patients in the pediatric group, but none in the infant group, presented with abdominal pain. Jaundice and clay-colored stool were present in all patients in the infant group but only 35% of those in the pediatric group. All patients underwent choledochocystectomy and Roux-en-Y hepaticojejunostomy with good outcomes. Neonates/infants with choledochal cysts present differently from older children with these entities. Amylase measurements may serve to distinguish biliary atresia with cystic dilatation from choledochal cyst in neonates/infants. Prognosis following radical cyst excision and reconstruction with Roux-en-Y hepaticojejunostomy is excellent.

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Section: Discussionsupporting

confidence: 93%

Section: Introductionmentioning

confidence: 82%

Choledochal cysts in infants and children: experiences over a 20-year period at a single institution

et al. 2011

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“…Choledochal cyst has been considered as disease of childhood and most patients present during first decade of life [1,3]. In our experience, 50 % of the patients were adults.…”

Section: Discussionmentioning

confidence: 95%

Laparoscopic Management of Choledochal Cyst‐Technical Modifications and Outcome Analysis

et al. 2015

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“…Traditionally, there are five varieties of CDCs that are classified according to their location in the biliary tree by the Todani modification of the Alonso-Lej classification [2]. Classically, this disease has been described to have a higher incidence of diagnosis during the first decade of life as well as a predominance in females of 3-4:1 [3–5]. Additionally, there is a much higher prevalence of CDCs in southeast Asian countries, with an overall incidence of 1:1000 compared with 1:100 000–150 000 in Western countries.…”

Section: Introductionmentioning

confidence: 99%

The Changing Presentation of Choledochal Cyst Disease: An Incidental Diagnosis

et al. 2009

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Background. Choledochal cysts are uncommon biliary lesions. Due to the evolution of imaging and laparoscopic surgery, we sought to describe our last 3 years experience with the presentation and management of choledochal cysts in adults. Methods. A retrospective review of a prospectively established database of adults who were managed for primary choledochal cyst disease between 2005 and 2008 was performed. Results. Between 8/2005 and 8/2008, 14 adults were managed for primary choledochal cyst disease. The average age was 41 years (range 17–86) and 79% were female. Presentations included biliary sepsis (3), pancreatitis (2), abdominal pain (3), or painless jaundice (1). Three patients had the cyst found during laparoscopic cholecystectomy, and two had an incidental finding after CT scan for an unrelated issue. The length of stay for those who had the cyst removed was 7.8 days (range 5–11). There were no operative or post-operative complications. Conclusions. Over the last 3 years 36% of our patients with choledochal cysts presented after incidental finding, either during a laparoscopic operation or after a CT scan for an unrelated problem. Increasing utilization of laparoscopy and CT scan for abdominal complaints has lead to a change in the pattern of presentation.

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Choledochal Cysts in Children: Epidemiology and Outcomes

Cited by 21 publications

References 18 publications

Choledochal cysts in infants and children: experiences over a 20-year period at a single institution

Choledochal cysts in infants and children: experiences over a 20-year period at a single institution

Laparoscopic Management of Choledochal Cyst‐Technical Modifications and Outcome Analysis

The Changing Presentation of Choledochal Cyst Disease: An Incidental Diagnosis

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