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Bile duct cysts: presentation in adults

S M Bose1, D N Lobo, G Singh

  • 1Department of Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh, India.

The Australian and New Zealand Journal of Surgery
|November 1, 1993
PubMed
Summary

Adults with bile duct cysts, rare congenital anomalies, can be successfully treated with total cyst excision and Roux-en-Y hepaticojejunostomy. This surgical approach led to asymptomatic outcomes in all seven adult patients studied.

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Area of Science:

  • Gastroenterology
  • Surgical Oncology
  • Pediatric Surgery

Background:

  • Bile duct cysts, or choledochal cysts, are uncommon congenital anomalies.
  • Adult presentation of these cysts is infrequent, posing diagnostic and management challenges.

Purpose of the Study:

  • To report on the surgical management of adult patients with Type I/IV bile duct cysts.
  • To evaluate the efficacy and outcomes of total cyst excision and Roux-en-Y hepaticojejunostomy in this patient cohort.

Main Methods:

  • Seven adult cases of Type I/IV bile duct cysts were treated over two years.
  • Diagnosis utilized ultrasound and cholangiography (ERCP/PTC).
  • Surgical intervention involved total cyst excision and Roux-en-Y hepaticojejunostomy.

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Main Results:

  • All seven patients underwent successful surgical treatment without operative complications.
  • Post-operative follow-up, ranging from 3 to 23 months, showed all patients remained asymptomatic.
  • The chosen surgical technique proved effective for managing adult bile duct cysts.

Conclusions:

  • Total cyst excision combined with Roux-en-Y hepaticojejunostomy is a safe and effective treatment for Type I/IV bile duct cysts presenting in adults.
  • Early diagnosis and surgical intervention can lead to excellent long-term outcomes in adult patients with choledochal cysts.