title: [Cystic disease of the biliary tract. Three decades of institutional experence].
abstract: BACKGROUND
  Cystic disease of biliary tract (CDBT) characterizes by the presence of sacular expansions of the biliary tree. It is an uncommon disease associated with high morbidity and malignant transformation. More than 60% of patients are women and can be diagnosed in the adult life.
  
  
  OBJECTIVE
  To evaluate the results obtained during last three decades in the management of CDBT in the adult patient.
  
  
  METHODS
  All the patients with CDBT treated from 1970 to 2002 were included. Demographic data, clinical picture, boarding diagnosis, classification, treatment, evolution and survival were analyzed.
  
  
  RESULTS
  34 patients. Twenty eight (82%) women and 6 (18%) men with a mean age of 33 years (range 13-84). The most frequent symptoms were abdominal pain, nausea-vomit and jaundice. Cholangiography was made in all cases. All the types described by Todani were documented. Twenty-seven patients (80%) were surgically treated. The mean follow-up was 84 months (range 1-408 months). Fifteen patients (44.1%) were readmitted and 9 (26.4%) had a reoperation. Three (9%) died with malignant transformation. The global survival was 91.1% to 12 months.
  
  
  CONCLUSIONS
  In the adult patient, diagnosis of CDBT requires a high level of suspicion and its confirmation depends on the image studies. The CDBT diagnosis considers an indication of surgical treatment. Complete resection of the biliary tract with Roux en-Y hepato-jejunal anastomosis have less rate of mechanical complications, hospitalary readmissions and surgical reintervention.
authors.affiliation: Departamento de Cirugía General, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, México, DF.
authors.forename: Juan José
authors.initials: JJ
authors.lastname: Plata-Muñoz
authors.forename: Miguel Angel
authors.initials: MA
authors.lastname: Mercado
authors.forename: Héctor
authors.initials: H
authors.lastname: Orozco
authors.forename: Carlos
authors.initials: C
authors.lastname: Chan
authors.forename: Luis
authors.initials: L
authors.lastname: Jerez
authors.forename: Aldo
authors.initials: A
authors.lastname: Torre-Delgadillo
authors.forename: Quintin H
authors.initials: QH
authors.lastname: González
authors.forename: Manuel
authors.initials: M
authors.lastname: Campuzano
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001660:Biliary Tract Diseases / Q000175:diagnosis / Q000401:mortality / Q000601:surgery; D003560:Cysts / Q000175:diagnosis / Q000401:mortality / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D015996:Survival Rate; D013997:Time Factors