| Choledochal cysts in infants and children: experiences over a 20-year period at a single institution. | |
| | |
MedLine Citation:
|
PMID: 21350805 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
|
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. |
| | |
Authors:
|
Min-Hsuan Hung; Lung-Huang Lin; Der-Fang Chen; Ching-Shui Huang |
Related Documents
:
|
23037875 - Late surfactant replacement therapy increases surfactant protein-b content in a randomi... 19436745 - Early exposure of infants to gi nematodes induces th2 dominant immune responses which a... 1199725 - Congenital metatarsus varus. on the advantages of early treatment. 7141795 - Acute renal failure in an infant with congenital neuroblastoma - successful treatment b... 20537255 - Development of an improved protocol for the isolation and detection of enterobacter sak... 10608565 - The whole-hand point: the structure and function of pointing from a comparative perspec... |
Publication Detail:
|
Type: JOURNAL ARTICLE Date: 2011-2-25 |
Journal Detail:
|
Title: European journal of pediatrics Volume: - ISSN: 1432-1076 ISO Abbreviation: - Publication Date: 2011 Feb |
Date Detail:
|
Created Date: 2011-2-25 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 7603873 Medline TA: Eur J Pediatr Country: - |
Other Details:
|
Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
|
Department of Pediatrics, Cathay General Hospital, 280, Section 4, Jen-Ai Road, Taipei, Taiwan. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Targeting angiogenesis from multiple pathways simultaneously: BIBF 1120, an investigational novel tr...
Next Document: Molecular diagnosis and risk-adjusted therapy in pediatric hematologic malignancies: a primer for pe...