Journal of Gastrointestinal Surgery

, Volume 14, Issue 7, pp 1105–1110 | Cite as

Choledochal Cysts: Differences Between Pediatric and Adult Patients

  • Ching Shui Huang
  • Chi Chen Huang
  • Der Fang Chen
Original Article


Choledochal cysts in children and adults are believed to be different, but direct comparison between them is lacking in the literature. This study was aimed to identify the clinicopathological differences between 42 children and 59 adults with choledochal cyst treated by same surgeons at the Cathay General Hospital. The mean follow-up period was 8.9 years. The result showed that the female-to-male ratios were 1.5:1 in pediatric patients and 4.9:1 in adult patients. Compared with adults with choledochal cyst, the pediatric patients presented more abdominal mass (52.4% vs 21.2%, P = 0.002) and less abdominal pain (76.2% vs. 98.0%, P = 0.002), are more frequently associated with anomalous pancreaticobiliary ductal union (85.7% vs. 59.6%, P = 0.005) and sudden severe stenosis of terminal choledochus (76.2% vs. 42.3%, P = 0.001), are less commonly associated with choledocholithiasis, are not associated with malignant transformation (0% vs 21.2%), and have fewer perioperative and long-term complications. Nevertheless, patients who received total excision had fewer surgical complications in both groups. This result shows that choledochal cysts in pediatric and adult patients are different in clinicopathological manifestations, prognosis, and the underlying abnormalities of the pancreaticobiliary system, suggesting that patients with choledochal cyst should be managed according to these differences.


Choledochal cyst Difference between pediatric and adult patients Anomalous pancreaticobiliary ductal union 


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Copyright information

© The Society for Surgery of the Alimentary Tract 2010

Authors and Affiliations

  • Ching Shui Huang
    • 1
    • 2
  • Chi Chen Huang
    • 1
    • 3
  • Der Fang Chen
    • 1
    • 3
  1. 1.Division of Gastrointestinal Surgery, Department of SurgeryCathay General HospitalTaipeiTaiwan
  2. 2.Taipei Medical UniversityTaipeiTaiwan
  3. 3.School of MedicineFu-Jen Catholic UniversityTaipeiTaiwan

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