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Journal of Indian Association of Pediatric Surgeons
     Journal of Indian Association of Pediatric Surgeons
Official journal of the Indian Association of Pediatric Surgeons         
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Year : 1999  |  Volume : 4  |  Issue : 3  |  Page : 118-122

Choledochal cyst : experience in five years


Institute of Postgraduate Medical Education and Research, SSKM Hospital Calcutta-700020, India

Correspondence Address:
B Mukhopadhyay
Institute of Postgraduate Medical Education and Research, SSKM Hospital Calcutta-700020
India
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Source of Support: None, Conflict of Interest: None


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ABSTRACT: The medical records and investigations of all patients treated for choledochal cyst between January, 1993 and December, 1998 were reviewed. Twenty three patients(Girls 14 and Boys 9)were operated. Age ranged from 3 months to 10years with majority between 7 and 10 years of age. Upper abdominal pain was the most common presentation(86 percent)followed by jaundice and abdominal lump. Ultrasonography was done in all patients. CT Scan, ERCP(Endoscopic Retrograde Cholangiopancreatography),Operative cholangiogram were done in some of the patients. Operative management include cholecystectomy in all cases along with various forms of cystoenterostomy or bilioenterostomy(e.g. anastomosis with common hepatic duct-HDJ(Hepaticodochojejunostomy)or more high near the porta hepatis, PE(Portoenterostomy))with or without excision of the cyst. Submucosal excision of the cyst with high anastomosis gives excellent result. There was no morality in our series. Three patients had cholangitis after operation and one of them required revision of anastomosis. Two patients (one patient of cystojejunostomy and the other patient of cystoduodenostomy) were lost to follow up.






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