Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Choledochal cysts: a nine-year review

W J Shian1, Y J Wang, C S Chi

  • 1Department of Pediatrics, Taichung Veterans General Hospital, Taiwan, Republic of China.

Acta Paediatrica (Oslo, Norway : 1992)
|April 1, 1993
PubMed
Summary

This study reviewed 24 pediatric choledochal cyst cases, finding ultrasonography effective for diagnosis. Cyst excision with Roux-en-Y hepaticojejunostomy is the preferred treatment, with no malignancy detected.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Potential role of Atp5g3 in epigenetic regulation of alcohol preference or obesity from a mouse genomic perspective.

Genetics and molecular research : GMR·2013
Same author

Mn ion dissolution from MnS: a density functional theory study.

Physical chemistry chemical physics : PCCP·2013
Same author

Sevoflurane causes neuronal apoptosis and adaptability changes of neonatal rats.

Acta anaesthesiologica Scandinavica·2013
Same author

Dasatinib promotes the potential of proliferation and antitumor responses of human γδT cells in a long-term induction ex vivo environment.

Leukemia·2013
Same author

Isolation and characterization of two VpYABBY genes from wild Chinese Vitis pseudoreticulata.

Protoplasma·2013
Same author

Population structure of the blood clam (Tegillarca granosa) in China based on microsatellite markers.

Genetics and molecular research : GMR·2013

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Medical Imaging

Background:

  • Choledochal cysts are congenital biliary tract abnormalities.
  • Diagnosis and management in pediatric populations require specific considerations.

Purpose of the Study:

  • To review clinical presentations, diagnostic methods, and treatment outcomes for pediatric choledochal cysts.
  • To evaluate the efficacy of surgical intervention and identify pathological findings.

Main Methods:

  • Retrospective review of hospital records for 24 pediatric patients diagnosed with choledochal cysts.
  • Analysis of presenting symptoms, diagnostic imaging (ultrasonography), surgical procedures, and pathological findings.
  • Inclusion of liver biopsy results for a subset of patients.

Main Results:

  • The study included 24 infants and children aged 1 day to 17 years.
  • Common presentations included abdominal pain, palpable abdominal mass, and jaundice.
  • Type I choledochal cysts (22 patients) were treated with surgery, while Type V (2 patients) were not.
  • Ultrasonography proved to be a rapid and accurate diagnostic tool.
  • Cyst excision with Roux-en-Y hepaticojejunostomy was the primary surgical approach.
  • Chronic cholecystitis was the most frequent pathological finding.
  • Liver biopsies revealed biliary cirrhosis (4 patients) and portal fibrosis (1 patient).
  • No evidence of malignancy was found in any patient.

Conclusions:

  • Ultrasonography is a valuable tool for the initial diagnosis of choledochal cysts in children.
  • Surgical management, specifically cyst excision with Roux-en-Y hepaticojejunostomy, is effective for Type I choledochal cysts.
  • Long-term follow-up is necessary to monitor for potential complications, although malignancy was not observed in this cohort.

Related Experiment Videos