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World Journal of Surgery

, Volume 32, Issue 7, pp 1385–1388 | Cite as

Choledochal Cysts in Children: Epidemiology and Outcomes

  • Jesda Singhavejsakul
  • Nuthapong UkarapolEmail author
Article

Abstract

Background

The purpose of the present study was to evaluate the epidemiology and outcomes of choledochal cysts in children.

Methods

We performed a retrospective review of the records of all cases of choledochal cyst in children 0–14 years of age presenting at Chiang Mai University Hospital from May 2000 to February 2007. Demographic and clinical data, including laboratory and radiographic studies, as well as surgical and nonsurgical treatments and outcomes, were recorded.

Results

There were 32 patients (25 female) with a mean age at diagnosis of 4.1 years (range: 1 month to 14.8 years). The most common clinical presentation was jaundice (n = 17), followed by abdominal pain (n = 16), nausea/vomiting (n = 10), and abdominal mass (n = 8). Based on the Tondani modification of the Alonso-Lej classification, 20 cases were type I, whereas 9, 2, and 1 of the patients had types IV, V, and II, respectively. Biliary tract infections, including cholecystitis (n = 5) and cholangitis (n = 3), were the most common preoperative complications. Twenty-six patients had definitive surgery consisting of cystectomy with Roux-en-Y hepaticojejunostomy. Postoperative complications were noted in 3 patients and included intestinal obstruction, bleeding, and cholangitis. Three patients died, all younger than 2 years of age (p = 0.022).

Conclusion

The epidemiology of choledochal cysts in Thai children was similar to cases reported from other regions. Early diagnosis and treatment, particularly in children under 2 years of age, should be emphasized, because these patients are at a higher risk for development of chronic liver disease and poor outcome.

Keywords

Cholangitis Cholecystitis Biliary Atresia Choledochal Cyst Common Hepatic Duct 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Notes

Acknowledgment

We thank Dr. Richard B. Colletti for reviewing and providing some comments on this manuscript.

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Copyright information

© Société Internationale de Chirurgie 2008

Authors and Affiliations

  1. 1.Department of Surgery, Faculty of MedicineChiang Mai UniversityChiang MaiThailand
  2. 2.Department of Pediatrics, Faculty of MedicineChiang Mai UniversityChiang MaiThailand

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