Experiences of choledochal cyst in pediatric and adult population: A case series
| Autor: | Maham Ahmad, Sanjay Bhat, Nikhil Mehrotra, Rahul Bhushan, Arijit Roy, PK Mishra, Nisar Ahmed Ansari, CS Rawat |
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| Rok vydání: | 2019 |
| Předmět: |
Abdominal pain
medicine.medical_specialty education.field_of_study Bile duct business.industry Population Adult population Early detection Retrospective cohort study medicine.disease Adult age Surgery medicine.anatomical_structure medicine Choledochal cysts Geriatrics and Gerontology medicine.symptom education business |
| Zdroj: | Saudi Surgical Journal. 7:138 |
| ISSN: | 2320-3846 |
| Popis: | Introduction: Choledochal cysts are a relatively uncommon disease of the bile duct which is the cystic dilatation of the intra- or extrahepatic bile ducts. Literature is scarce on its clinicopathological behavior among children and adults and its comparison. Methods: The retrospective study was aimed to study the clinical characteristics, management, and complications between pediatric and adult patients with choledochal cysts. Results: There was higher female preponderance with male to female ratio of 3:17 in pediatric age group while 1:4 in adult age. Abdominal pain was more common among adults, while palpable mass was more common among pediatrics population (P 0.05). No patients with type II, type III, type IVB cysts, or type V were found. Sixteen patients underwent Lilly technique, with resection of the choledochal mucosa and Roux-en-Y hepaticojejunostomy, while nine patients underwent resection of the choledochal cyst and Roux-en-Y hepaticojejunostomy. Patients who received total excision had fewer surgical complications in both groups. Conclusion: Although there is a significant difference in the clinical characteristics of choledochal cysts between children and adults, yet early detection and necessary surgery is essential for patients with choledochal cysts. |
| Databáze: | OpenAIRE |
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