Biliary atresia type I cyst and choledochal cust: can we differentiate or not? View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2013-04-12

AUTHORS

Tatsuya Suzuki, Takashi Hashimoto, Mohamed Hamed Hussein, Fujio Hara, Masahito Hibi, Takazumi Kato

ABSTRACT

Background/purposeIt is difficult to discriminate between choledochal cust with obstructive jaundice and biliary atresia with a cyst at the porta hepatis in neonates or young infants. This review evaluates whether it is possible to differentiate between these two diseases. We here also provide an overview of our experience with type I cyst biliary atresia patients.MethodsAmong all the biliary atresia infants who we treated, the infants who were diagnosed with type I cyst biliary atresia were identified and reviewed for their management and outcome. The clinical course and management in different reports were reviewed and compared to the cases presented to our institution.ResultsAmong the 220 biliary atresia cases, 11 (5 %; male/female: 4/7) were diagnosed to be type I cyst biliary atresia. Two received hepaticoenterostomy and nine received hepatic portoenteros. Three patients had severe late complications; overall, nine (81.8 %) were alive with their native liver and without jaundice.ConclusionsPatient with choledochal cust are likely to represent larger cysts and inversely, smaller, static, anechoic cysts are more likely to represent cystic biliary atresia. However, exceptional cases were yet presented, and a definitive diagnosis may not be reached. Thus a complete differentiation between choledochal cust from type I cyst biliary atresia is yet hard to reach. More... »

PAGES

465-470

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00534-013-0605-3

DOI

http://dx.doi.org/10.1007/s00534-013-0605-3

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1033097890

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/23579998


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