Cystic dilation of extrahepatic bile ducts in adulthood: diagnosis, surgical treatment and long-term results.

Abstract

To evaluate the long-term results of surgery for choledohal cyst in adulthood, a series of 13 patients over the age of 16 operated on for choledochal cyst during a period of six years and followed-up for a minimum of 3 years was analyzed. Patients with type I and IVa cysts underwent extrahepatic cyst resection and Roux-en-Y hepatico-jejunostomy. Choledochoceles (type III) were managed endoscopically. No operative mortality or morbidity occurred. Type I and III cysts showed almost ideal follow-up with no sign of stricture on HIDA scan. One type IVa cyst patients developed recurrent cholangitis due to anastomotic stricture, managed percutaneously. Whenever possible, complete cyst resection and Roux-en-Y reconstruction is the treatment of choice for all extrahepatic biliary cysts. Intra- and extrahepatic dilatations are adequately treated by extrahepatic resection and careful endoscopic or radiologic surveillance. Small choledochoceles can be safely managed by endoscopic sphincterotomy.

• Authors: G Belli, G Rotondano, A D'Agostino, A Iannelli, I Marano, M L Santangelo
• Journal: HPB surgery : a world journal of hepatic, pancreatic and biliary surgery (HPB Surg) Vol. 10 Issue 6 Pg. 379-84; discussion 384-5 ( 1998) ISSN: 0894-8569 [Print] United States
• PMID: 9515236 (Publication Type: Journal Article)

Topics

• Adolescent
• Adult
• Anastomosis, Roux-en-Y
• Bile Ducts, Extrahepatic (pathology)
• Cholangitis (etiology)
• Choledochal Cyst (classification, diagnosis, surgery)
• Female
• Follow-Up Studies
• Humans
• Male
• Middle Aged
• Pancreatitis (etiology)
• Postoperative Complications
• Retrospective Studies
• Treatment Outcome