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Type: Journal article
Title: Management dilemmas with choledochal cysts
Author: Metcalfe, M.
Wemyss-Holden, S.
Maddern, G.
Citation: Archives of Surgery, 2003; 138(3):333-339
Publisher: Amer Medical Assoc
Issue Date: 2003
ISSN: 0004-0010
Statement of
Matthew S. Metcalfe, Simon A. Wemyss-Holden and Guy J. Maddern
Abstract: Context: Choledochal cysts are rare and of unknown cause. Their presentation is protean, with the classical triad of pain, jaundice, and mass rarely seen. The potential complications are serious, including pancreatitis, cholangitis, and cholangiocarcinoma. Objective: To present the current experience and evidence relating to all aspects of choledochal cysts to derive appropriate management recommendations. Methods: Review of relevant literature in the English language indexed on MEDLINE. Results: The elaboration of the classification of choledochal cysts. We describe the modes of presentation and optimal investigation and summarize the current theories on etiology and malignant transformation. The results of different management strategies are presented. Conclusions: Choledochal cysts are often detected during the investigation of nonspecific symptoms, or even incidentally detected. Magnetic resonance imaging is the best imaging modality for the diagnosis and characterization of these cysts. Complete excision and hepaticojejenostomy is the management of choice.
Keywords: Bile Ducts, Extrahepatic; Liver; Animals; Humans; Choledochal Cyst; Cholangiocarcinoma; Bile Duct Neoplasms; Cell Transformation, Neoplastic; Postoperative Complications; Magnetic Resonance Imaging; Drainage; Anastomosis, Surgical; Jejunostomy
Description: © American Medical Association
RMID: 0020031737
DOI: 10.1001/archsurg.138.3.333
Published version:
Appears in Collections:Surgery publications

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