Document Detail


Cystic dilation of the common bile duct.
MedLine Citation:
PMID:  3969606     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Nineteen male and female patients with cystic dilation of the common bile duct were treated by total removal of the choledochal cyst and reconstruction using a Roux-en-Y end to side hepaticojejunostomy. Follow-up study was 18 years for some patients. Our data suggest that this disease is highly correlated with an anomalous pancreaticobiliary junction and its sequelae, and that previous treatment by internal drainage is not uniformly successful. After radical surgical treatment and reconstruction, no deaths occurred in any of the patients. All early complications were treated with success by conservative means. With the use of the criteria of Alonso-Lej, there was a clinically significant shift in the status of the choledochal cyst from type 2 before operation to type 1 after operation. Our long term experience with this group of patients leads us to recommend total excision of the choledochal cyst and end to side hepaticojejunostomy for treating patients with cystic dilation of the common bile duct.
Authors:
N J Lygidakis
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Surgery, gynecology & obstetrics     Volume:  160     ISSN:  0039-6087     ISO Abbreviation:  Surg Gynecol Obstet     Publication Date:  1985 Feb 
Date Detail:
Created Date:  1985-03-06     Completed Date:  1985-03-06     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0101370     Medline TA:  Surg Gynecol Obstet     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  115-8     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Child
Child, Preschool
Cholangiopancreatography, Endoscopic Retrograde
Common Bile Duct Diseases / etiology,  radiography,  surgery*
Cysts / etiology,  radiography,  surgery*
Female
Follow-Up Studies
Humans
Male
Middle Aged

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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