Presentation and management of choledocal cyst

Kiran Patel; Ankit B. Patel

doi:10.18203/2349-2902.isj20191050

Authors

Kiran Patel Department of General Surgery, GMERS Medical College, Valsad, Gujrat, India
Ankit B. Patel Department of General Surgery, GMERS Medical College, Valsad, Gujrat, India

DOI:

https://doi.org/10.18203/2349-2902.isj20191050

Keywords:

Choledochal cyst, Clinical presentation, Management

Abstract

Background: Choledochal cyst is congenital disease of biliary tract. There are five main types of choledochal cyst with few recognised sub types. The etiology of choledochal cyst is unclear.

Methods: Author here randomly studied patients from May 2012 to June 2015 from surgical department of the institute. Radical excision of cyst wall with reconstruction of biliary tract using a Roux-en-Y loop of jejunum is the treatment in a patient.

Results: Out of 30 patients, 24 were discharged as routine procedure. Out of 30, six patients had complications which were treated and cured, only one patient died due to ARDS post operatively.

Conclusions: Choledochal cyst is congenital disease. In the past, it was treated by drainage procedure. But nowadays, it is treated by radical excision with Roux-en-Y hepaticojejunostomy with minimum mortality. In present study, 3.33% (one patient) death occurred. So, in planned surgery results are good but in emergency (in this study one patient died) death can occur, inspite of good surgical approach.

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Author Biographies

Kiran Patel, Department of General Surgery, GMERS Medical College, Valsad, Gujrat, India

ASSISTANT PROFESSOR IN DEPATMENT OF GENERAL SURGERY, G.M.E.R.S. MEDICAL COLLEGE VALSAD

Ankit B. Patel, Department of General Surgery, GMERS Medical College, Valsad, Gujrat, India

SENIOR RESIDENT IN DEPATMENT OF GENERAL SURGERY G.M.E.R.S MEDICAL COLLEGE AND HOSPITAL ,VALSAD

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