Choledochal cysts: our ten year experience.
We present our experience in the management of choledochal cysts from 1999 to 2009. A retrospective review of all charts with a diagnosis of choledochal cysts in our institution in this ten-year period. Data was collated using Excel. A total of 17 patients were diagnosed with choledochal cyst: 9 females and 8 males. The average age at diagnosis was 28 months (range from 0 to 9 years). The most common presenting symptoms were obstructive jaundice 6 (35%) and abdominal pain and vomiting 4 (23%). Ultrasound (US) was the initial diagnostic test in all cases with 4 patients requiring further investigations. All patients underwent Roux-en-Y Hepaticojejunostomy. The average length of stay was 11 days. Patients were followed up with Liver Function Tests (LFTS) and US 4-6 weeks post-operatively. Three patients developed complications including post-op collection, high drain output requiring blood transfusion and adhesive bowel obstruction. Our overall experience with choledochal cyst patients has been a positive one with effective management and low complication rates.
Our Lady's Hospital for Sick Children, Crumlin, Dublin 12. fionacianci@yahoo.com
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Cianci
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Al Oraifi
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Tareen
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Corbally
D015746:Abdominal Pain / Q000209:etiology; D002648:Child; D002675:Child, Preschool; D049448:Cholangiopancreatography, Magnetic Resonance; D015529:Choledochal Cyst / Q000150:complications / Q000601:surgery / Q000628:therapy*; D018450:Disease Progression; D005260:Female; D006801:Humans; D007223:Infant; D041781:Jaundice, Obstructive / Q000209:etiology; D007582:Jejunostomy; D007902:Length of Stay; D008297:Male