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

Use of the appendix to replace the choledochus

M F Wei1, B Q Qi, G L Xia

  • 1Department of Pediatric Surgery, Tongji Hospital, Tongji Medical University, Wuhan 430030, People's Republic of China.

Pediatric Surgery International
|August 26, 1998
PubMed
Summary

This study on choledochal cyst (CC) treatment found biliary-appendicoduodenostomy with an anti-reflux submucosal tunnel effective. Postoperative follow-up confirmed normalized bile ducts and patent neo-bile ducts in all patients.

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

[Mitoxantrone hydrochloride liposome combined with cytarabine for treating pediatric acute myeloid leukemia with RUNX1∷MTG16 fusion gene: a case report and literature review].

Zhonghua xue ye xue za zhi = Zhonghua xueyexue zazhi·2025
Same author

[Next-generation sequencing-based minimal residual disease detection reveals clonal evolution in pediatric acute B-lymphoblastic leukemia: a case report and literature review].

Zhonghua xue ye xue za zhi = Zhonghua xueyexue zazhi·2025
Same author

[Clinical features and long-term prognostic analysis of relapsed pediatric acute lymphoblastic leukemia].

Zhonghua er ke za zhi = Chinese journal of pediatrics·2024
Same author

[The safety and efficacy of blinatumomab in the treatment of B-cell acute lymphoblastic leukemia in children].

Zhonghua yi xue za zhi·2024
Same author

[Clinical and prognostic characteristics of pediatric acute myeloid leukemia with myelodysplasia-related changes under different diagnostic criteria].

Zhonghua er ke za zhi = Chinese journal of pediatrics·2024
Same author

[Clinical features and prognostic analysis of testicular relapse in pediatric acute lymphoblastic leukemia].

Zhonghua er ke za zhi = Chinese journal of pediatrics·2024

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Surgical Innovation

Background:

  • Choledochal cysts (CC) are congenital biliary malformations requiring surgical intervention.
  • Appendicoduodenostomy is a reconstructive technique for biliary atresia and choledochal cysts.
  • Ensuring anti-reflux mechanisms is crucial for long-term patency and preventing complications.

Purpose of the Study:

  • To evaluate the efficacy and safety of biliary-appendicoduodenostomy with an anti-reflux submucosal tunnel in treating choledochal cysts.
  • To assess the long-term outcomes and patency of the reconstructed biliary system.

Main Methods:

  • Ten patients with choledochal cysts underwent biliary-appendicoduodenostomy.
  • An anti-reflux submucosal tunnel was incorporated into the distal appendico-duodenostomy.

Related Experiment Videos

  • Postoperative assessment included patient interviews, ultrasonography (US), and single-proton ejected computerized tomography (SPECT) scanning.

    • Main Results:

    • All ten patients experienced an uneventful postoperative course.
    • Ultrasonography revealed normalization of dilated intrahepatic bile ducts in all cases.
    • SPECT examinations in four children demonstrated patent neo-bile ducts.

    Conclusions:

    • Biliary-appendicoduodenostomy with an anti-reflux submucosal tunnel is a safe and effective treatment for choledochal cysts.
    • Anastomosing the cecal end of the appendix to the common hepatic duct and incorporating a submucosal tunnel enhances anti-reflux efficacy.
    • Transposing the appendix through the retro-transverse colon simplifies the procedure and may reduce complications.