Etiology of congenital choledochal cyst.

Kato, Taichi; Hebiguchi, Tatsuzo; Kasai, Morio

doi:10.1620/tjem.131.135

Cited by 10 publications

(2 citation statements)

References 4 publications

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“…In addition, animal studies have documented dilatation and structural weakness of the common bile duct and destruction of the elastic fibers of the duct when pancreatic secretions were allowed to reflux. These findings occurred in an experimental model replicating the human anomalous union of the pancreatic and biliary ducts [6]. In support of this theory is the fact that the vast majority of cases of bile duct cysts are associated with anomalous junction of the pancreatic…”

Section: Introductionmentioning

confidence: 68%

Choledochal cystic diseases

Bruns

Broughan

2001

Curr Treat Options Gastro

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Cystic disease of the intrahepatic and extrahepatic bile ducts results in rare malformations with a variable presentation. The majority of patients present during childhood with symptoms of abdominal pain, cholangitis, and an abdominal mass. A palpable mass is unusual in adults, and adult patients tend to present with recurrent cholangitis, pancreatitis, or rarely portal hypertension. The cause of this disorder also is debated, with both congenital and acquired origins postulated. The gold standard for the treatment of choledochal cysts is complete excision with the establishment of biliary flow into the gastrointestinal tract. The well described malignant potential of the cyst and the high rate of recurrent cholangitis with internal drainage procedures mandate cyst excision when possible. In the event of extensive scarring or malignant changes of the cyst, the posterior wall of the cyst may be left in situ to avoid endangering the portal vessels, which are found posteriorly. Alternatively, various endoscopic or percutaneous interventions may provide symptomatic relief. However, every effort should be directed towards complete resection of the cyst and the re-establishment of biliary-enteric continuity.

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Section: Introductionmentioning

confidence: 68%

Choledochal cystic diseases

Bruns

Broughan

2001

Curr Treat Options Gastro

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“…Seit der Entwicklung von hochauflfsenden Ultraschallger/iten gelingt auch immer 6fter die pr/inatale Diagnose von Gallengangscysten [6]. Diese Theorie konnte in zahlreichen experimenteUen Arbeiten best/itigt werden [8,9,11,12]. Diese Theorie konnte in zahlreichen experimenteUen Arbeiten best/itigt werden [8,9,11,12].…”

Section: Diskussionunclassified

Zur operativen Behandlung von Gallengangscysten im Kindesalter

Schmidt

1986

Langenbecks Arch Chiv

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Nine cases of cystic and cylindric bile duct dilatation are discussed. They were treated at the Children's Surgical Hospital of the University of Munich from 1970 to 1984. The patients' mean age was 4.2 years. Upper abdominal sonography in combination with hepatobiliary functional scintigraphy or computer tomography has been proven the best diagnostic procedure. The operating procedure of choice is a total cyst excision followed by an end-to-end anastomosis or a hepatojejunostomy according to the Roux-Y-technique. There were no immediate postoperative complications such as cholangitis. In one case we found a stenosis of the anastomosis after primary hepatocholedochostomy.

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Choledochal Cyst Resulting in Congenital Cirrhosis

Orenstein

Whitington

1982

Arch Pediatr Adolesc Med

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Etiology of congenital choledochal cyst.

Cited by 10 publications

References 4 publications

Choledochal cystic diseases

Choledochal cystic diseases

Zur operativen Behandlung von Gallengangscysten im Kindesalter

Choledochal Cyst Resulting in Congenital Cirrhosis

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