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Cystic Dilatations of the Common Bile Duct in Adults
Cystic dilatations of the common bile duct are believed to be of congenital etiology with most cases presenting in childhood. During the last 20 years, 10 patients with cystic dilatations of the bile duct were treated in our Department. There were 5 men and 5 women with an age range of 35–81 years....
Autores principales: | , , , , , |
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Formato: | Texto |
Lenguaje: | English |
Publicado: |
Hindawi Publishing Corporation
1996
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2423837/ https://www.ncbi.nlm.nih.gov/pubmed/9184863 http://dx.doi.org/10.1155/1996/28924 |
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author | Kouraklis, Gr. Misiakos, E. Glinavou, A. Karatzas, G. Gogas, J. Skalkeas, G. |
author_facet | Kouraklis, Gr. Misiakos, E. Glinavou, A. Karatzas, G. Gogas, J. Skalkeas, G. |
author_sort | Kouraklis, Gr. |
collection | PubMed |
description | Cystic dilatations of the common bile duct are believed to be of congenital etiology with most cases presenting in childhood. During the last 20 years, 10 patients with cystic dilatations of the bile duct were treated in our Department. There were 5 men and 5 women with an age range of 35–81 years. Clinical presentation consisted of right hypohondrial pain, nausea, vomiting and a history of obstructive jaundice. Diagnosis was established by ultrasound, cholangiography and ERCP in most cases. According to the Todani classification system, 5 patients had type I cysts, 4 had type II and one had type III. At the time of surgery, main associated diseases were choledocholithiasis in 3 cases and cholangitis in 2 cases. One patient (type III) underwent endoscopic sphincterotomy; 4 patients underwent internal drainage and 2 of them developed mild cholangitis postoperatively; 5 patients underwent excision of the cyst and a biliary-enteric bypass and developed no main complications. Patients remained in good health during long-term follow-up. We conclude that cyst excision is the treatment ofchoice for adults in order to reduce postoperative morbidity and the potential risk of malignancy. |
format | Text |
id | pubmed-2423837 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 1996 |
publisher | Hindawi Publishing Corporation |
record_format | MEDLINE/PubMed |
spelling | pubmed-24238372008-07-08 Cystic Dilatations of the Common Bile Duct in Adults Kouraklis, Gr. Misiakos, E. Glinavou, A. Karatzas, G. Gogas, J. Skalkeas, G. HPB Surg Research Article Cystic dilatations of the common bile duct are believed to be of congenital etiology with most cases presenting in childhood. During the last 20 years, 10 patients with cystic dilatations of the bile duct were treated in our Department. There were 5 men and 5 women with an age range of 35–81 years. Clinical presentation consisted of right hypohondrial pain, nausea, vomiting and a history of obstructive jaundice. Diagnosis was established by ultrasound, cholangiography and ERCP in most cases. According to the Todani classification system, 5 patients had type I cysts, 4 had type II and one had type III. At the time of surgery, main associated diseases were choledocholithiasis in 3 cases and cholangitis in 2 cases. One patient (type III) underwent endoscopic sphincterotomy; 4 patients underwent internal drainage and 2 of them developed mild cholangitis postoperatively; 5 patients underwent excision of the cyst and a biliary-enteric bypass and developed no main complications. Patients remained in good health during long-term follow-up. We conclude that cyst excision is the treatment ofchoice for adults in order to reduce postoperative morbidity and the potential risk of malignancy. Hindawi Publishing Corporation 1996 /pmc/articles/PMC2423837/ /pubmed/9184863 http://dx.doi.org/10.1155/1996/28924 Text en Copyright © 1996 Hindawi Publishing Corporation. http://creativecommons.org/licenses/by/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Article Kouraklis, Gr. Misiakos, E. Glinavou, A. Karatzas, G. Gogas, J. Skalkeas, G. Cystic Dilatations of the Common Bile Duct in Adults |
title | Cystic Dilatations of the Common Bile Duct in Adults |
title_full | Cystic Dilatations of the Common Bile Duct in Adults |
title_fullStr | Cystic Dilatations of the Common Bile Duct in Adults |
title_full_unstemmed | Cystic Dilatations of the Common Bile Duct in Adults |
title_short | Cystic Dilatations of the Common Bile Duct in Adults |
title_sort | cystic dilatations of the common bile duct in adults |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2423837/ https://www.ncbi.nlm.nih.gov/pubmed/9184863 http://dx.doi.org/10.1155/1996/28924 |
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