Document Detail


Early and late results of excision of choledochal cysts.
MedLine Citation:
PMID:  9396526     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND/PURPOSE: Reports on the late results of choledochal cyst excision with hepaticojejunostomy in children are relatively few. METHODS: Of the 84 patients who had choledochal cyst who came under our care, 79 have had definitive surgery, three are awaiting surgery, one is being observed with Caroli's disease, and the parents of one child have refused surgery. Thirty-eight patients treated decades ago had internal drainage procedures. Since 1972, 41 patients have had cyst excision with hepaticojejunostomy using a 40-cm Roux loop without an antireflux procedure. Early complications in those who underwent cyst excision with hepaticojejunostomy included anastomotic leak in three patients who required reoperation, cholangitis in two, and fluid collection in the gall-bladder bed that required no intervention in one. RESULTS: During a follow-up period ranging from 4 months to 17 years (mean, 8.5 years), anastomotic stricture, cholangitis, and intrahepatic stone formation developed in two children after being well for 8 years and over 11 years. These children required additional surgical procedures to overcome their problems. Asymptomatic intrahepatic stones 2 years after cyst excision with hepaticojejunostomy developed in a third child. There was no mortality in the entire group that underwent cyst excision and they are all enjoying a good quality of life. CONCLUSIONS: Careful, long-term follow-up is important in children who have choledochal cyst excision with hepaticojejunostomy.
Authors:
H Saing; H Han; K L Chan; W Lam; F L Chan; W Cheng; P K Tam
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of pediatric surgery     Volume:  32     ISSN:  0022-3468     ISO Abbreviation:  J. Pediatr. Surg.     Publication Date:  1997 Nov 
Date Detail:
Created Date:  1998-01-13     Completed Date:  1998-01-13     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0052631     Medline TA:  J Pediatr Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1563-6     Citation Subset:  IM    
Affiliation:
Department of Surgery, The University of Hong Kong, Queen Mary Hospital.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Anastomosis, Roux-en-Y
Bile Ducts, Intrahepatic
Child
Child, Preschool
Cholangitis / etiology
Choledochal Cyst / surgery*
Cholelithiasis / etiology
Drainage
Enterostomy
Female
Follow-Up Studies
Humans
Infant
Infant, Newborn
Male
Postoperative Complications
Reoperation

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


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