Todani classification system was used to determine the anatomic type of choledochal cyst and a new classification system by Komi et al. 7 was used for APBDU and the standard measurement of the length of the common duct was performed as suggested by Guelrud et al. 8 Windows SPSS 15.0 ver. was used for an analysis of study results to compare the two groups using t-test, chi-square test and.
Classification. Alonso-Lej and colleagues 5 proposed the first classification system for CCs in 1959, describing 3 types of bile duct dilation, which has gained wide acceptance. Todani and colleagues 6 expanded this system in 1977 to include the occurrence of intrahepatic and multiple cysts, and this modified classification is now most commonly used by clinicians.
Choledochal cysts-Classification, physiopathology, and clinical course. Key words: choledochal cyst, todani classification, choledochocel Received: October 05, 2016; Accepted: October 21, 2016; Published: October 24, 2016 Type IA Cystic dilatation of the extrahepatic bile ducts Type IB Extrahepatic distal focal - segmental biliary dilatation Type IC Extrahepatic fusiform biliary dilatation.
A choledochocele, or Type III choledochal cyst using the Todani et al. classification system, most commonly refers to a cystic dilation of the terminal common bile duct usually involving the intramural segment. 64 Although pancreatitis has been reported to occur in association with all types of extrahepatic choledochal cysts, it occurs most commonly with the choledochocele. Moreover.
A retrospective study revealed a different relationship between the biliary amylase level and clinical features of choledochal cysts; there might be another pathophysiologic basis other than the APBDJ hypothesis. 8 Other mechanisms have been proposed as the cause of this condition; one theory states that a dilatation originates from the weakest part of the duct resulting from the lowest.
Cystic dilatation of the common bile duct (CBD), also known as choledochal cyst, is a fairly uncommon anomaly of the biliary tract. Although it was first described by Vater and Ezler in 1723, Douglas published the first complete clinical description of the anomaly in a patient in 1853.
Choledochal Cyst: Comparison of MR and Conventional Cholangiography Clinical Radiology, Vol. 55, No. 5 Value of MR cholangiopancreatography in evaluating choledochal cysts.
I had a choledochal cyst removed last May in my bile duct. I had my gallbladder out too. The cyst was the size of a grapefruit, and sitting on my pancreas. I had stomach pain once in a while before, and got out of breath while trying to exercise.I lost my appetite also. I had an ultrasound and a MRI and they sent me to a surgeon. The surgery took 4 hours, but everything went well.
Bile duct surgery with total cyst removal is the definitive treatment for choledochal cysts. In earlier decades, an operation known as cystenterostomy was performed that only drained the cyst and the bilary reconstruction left the cyst behind. That surgery proved ineffective, leaving many patients with recurrent cholangitis and chronic inflammation in the remaining cyst, and the substantial.
The prognosis after excision of a choledochal cyst is usually excellent, but it is influenced by several factors, including patient age, cyst type, histologic features, and site 8). Moreover, patients need lifelong follow-up because of the increased risk of cholangiocarcinoma and gallbladder carcinoma, even after complete excision of the cyst. In adults, there appears to be a 6-30% risk of.
A choledochal cyst is a cyst (hollow outpouching) of the bile ducts. Choledochal cysts have been classified into several different types depending on where they are located and whether they can be seen as separate structures from the ducts (diverticulum-like); or whether they can be seen as a localized dilation (enlargement) of the ducts. Choledochal cysts are rare. The cause of choledochal.
Clinical comparison of choledochal cysts. By Korean J Hepatobiliary, Pancreat Surg, Original Article, Sung Min Jang, Beom Seok Lee, Kun Kuk Kim, Jung Nam Lee, Yang Seo Koo, Yeon Suk Kim, Hyeon Young Kim and Yeon Ho Park. Abstract. between children and adult Topics: Key Words, Choledochal cyst, Children, Adults, Malignancy. Year: 2016. OAI identifier: oai:CiteSeerX.psu:10.1.1.785.1327.
CHOLEDOCHAL CYST is a rare congenital dilatation of the bile ducts. The estimated incidence in Western countries varies between 1 in 100,000 and 1 in 150,000. 1 The incidence is higher in Asia and occurs more in women, with a male to female ratio of 1:3 to 4.1, 2 The most widely used subdivision of choledochal cysts is Todani's classification (Fig 1), which is a modification of the Alonso-Lej.
Choledochal cyst disease is defined by cystic dilatation of the intrahepatic or extrahepatic biliary tree. The anatomy of choledochal cyst disease was first described by Vater in 1723, and in 1959 Alonso-Lej categorized three types of choledochal cysts. This was later modified by Todani in 1977 to the five cyst categories that are in use today. Overall, this is an uncommon disease in the West.
Choledochal cyst is an uncommon anomaly and is estimated to occur in between 1 in 13,000 to 1 in 2 million live births. It is more common in Asian populations and in females. Initially described in 1852, choledochal cysts were classified into three types by Alonso-Lej et al. in 1959: type I, a solitary fusiform extrahepatic cyst.Chapter 40 covers choledochal cysts, and includes information on definition, demographics, clinical features, anatomy, imaging modalities and features, imaging algorithm, applied physics, differential diagnoses and pitfalls, and a bulleted summary of key points.A choledochal cyst is a congenital anomaly of the duct (tube) that transports bile from the liver to the gall bladder and small intestine. The liver produces bile to help digest food. When a child has a choledochal cyst, a swelling of that duct, bile may back up in the liver. This can cause liver problems or inflammation of the pancreas (pancreatitis) because it blocks the main duct from the.