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Choledochal malformations: global research, scientific advances and key controversies.
Pediatr Surg Int
March 2019
Department of Pediatric Surgery, King's College Hospital, Denmark Hill, London, SE5 9RS, UK.
Choledochal malformations (CMs) represent a spectrum of relatively rare and complex congenital anomalies, characterized by abnormal dilatation of the biliary tract in the absence of any acute obstruction. Today, almost 20% of CMs can be detected in-utero using maternal ultrasonography. Formal scientometric analysis was used to identify where modern CM research is taking place and perhaps where our attention should be directed in the future.
View Article and Find Full Text PDFSpontaneous Rupture of a Choledochal Cyst During Post Partum: A Rare Presentation.
Gastroenterology Res
April 2017
Department of General Surgery, PGIMER, Chandigarh 160012, India.
With the advent of newer radiological investigations, choledochal cysts are being diagnosed more often in present era. These cysts are commonly diagnosed in early childhood and infancy, although some go undetected to be diagnosed in adulthood. These malformations are associated with multiple complications like cholangitis, jaundice, pancreatitis, rupture or even malignancy.
View Article and Find Full Text PDFUnderstanding choledochal malformation.
Arch Dis Child
January 2012
Department of Paediatric Surgery, King's College Hospital, Denmark Hill, London SE5 9RS, UK.
Choledochal malformations (also known as choledochal cysts) may be characterised as an abnormal dilatation of the biliary tract, in the absence of any acute obstruction. Most appear to be of congenital origin probably related to distal bile duct stenosis, and almost 15% can now be detected antenatally. Excision and biliary reconstruction using a Roux loop as an open operation is still the standard to compare to.
View Article and Find Full Text PDFPartial hepatectomy and total cyst excision is curative for localized type IV-a biliary duct cysts - report of four cases and review of management.
Eur J Pediatr Surg
June 2009
Department of Surgery, King Fahad Hospital of the University, Al Khobar, Saudi Arabia.
Purpose: With the increasing use of newer modalities such as CT cholangiography and MRCP offering an accurate delineation of the ductal anatomy of choledochal cysts, the incidence of type IV-A biliary duct cysts has increased. Although the management of the more common type I cysts is well established, that of type IV-A cysts is still controversial. The localized/unilobar variety of type IV-A cysts is a unique entity amenable to curative surgical management.
View Article and Find Full Text PDFPediatric MR cholangiopancreatography: principles, technique, and clinical applications.
Radiographics
January 2009
Department of Diagnostic Imaging, The Hospital For Sick Children and University of Toronto, Toronto, ON, Canada.
High-quality magnetic resonance (MR) cholangiopancreatographic images are difficult to obtain in children due to the small caliber of the pediatric bile ducts and to motion artifacts. However, there has been ongoing improvement in image quality, thanks to better coil technology, increased speed of acquisition, refinement in respiratory compensation techniques, and newer sequences. Heavily T2-weighted fast spin-echo (FSE) and single-shot FSE MR imaging sequences with long echo times are used to image the biliary and pancreatic ducts.
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