CLINICAL PRESENTATION AND MANAGEMENT OF ADULT CHOLEDOCHAL CYST: A RETROSPECTIVE REVIEW
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Published:
Feb 13, 2017
Keywords:
Choledochal cyst, Biliary diseases, Biliary bypass procedures
Main Article Content
Abstract
Objectives: To determine the mode of presentation and commonest surgical
procedures done for adult choledochal disease in a tertiary care hospital.
Methodology: A retrospective review conducted in Lady Reading Hospital,
Peshawar, from January 1995 to January 2005 with one year of follow up. All
patients above 13 years of age with choledochal cyst were considered for the
study. Mode of clinical presentation and commonest surgical procedures were
recorded.
Results: Of the total 23 patients collected, 08 (34.78%) were males and 15
(65.22%) were females. Regarding mode of clinical presentation, pain right hypochondrium
with raised serum bilirubin and ALT levels was found in 21.73%
of patients. Complete cyst excision was possible in 69.56% of the patients.
Complete cyst excision followed by Roux-en-Y common hepatico-jejunostomy
was performed in 30.43% and common hepatico-dudenostomy in 26.08%.
Conclusion: The most common mode of clinical presentation of choledochal
cyst was pain right hypochondrium with raised serum bilirubin and ALT levels.
The commonest surgical procedure was complete cyst excision with Roux-en-Y
common hepatico-jejunostomy.
procedures done for adult choledochal disease in a tertiary care hospital.
Methodology: A retrospective review conducted in Lady Reading Hospital,
Peshawar, from January 1995 to January 2005 with one year of follow up. All
patients above 13 years of age with choledochal cyst were considered for the
study. Mode of clinical presentation and commonest surgical procedures were
recorded.
Results: Of the total 23 patients collected, 08 (34.78%) were males and 15
(65.22%) were females. Regarding mode of clinical presentation, pain right hypochondrium
with raised serum bilirubin and ALT levels was found in 21.73%
of patients. Complete cyst excision was possible in 69.56% of the patients.
Complete cyst excision followed by Roux-en-Y common hepatico-jejunostomy
was performed in 30.43% and common hepatico-dudenostomy in 26.08%.
Conclusion: The most common mode of clinical presentation of choledochal
cyst was pain right hypochondrium with raised serum bilirubin and ALT levels.
The commonest surgical procedure was complete cyst excision with Roux-en-Y
common hepatico-jejunostomy.
Article Details
How to Cite
1.
Shah NA, Hadi A, Mehreen T, Kalim M, Hussain M, Shah I, Abid J. CLINICAL PRESENTATION AND MANAGEMENT OF ADULT CHOLEDOCHAL CYST: A RETROSPECTIVE REVIEW. J Postgrad Med Inst [Internet]. 2017 Feb. 13 [cited 2024 Apr. 24];31(1). Available from: https://www.jpmi.org.pk/index.php/jpmi/article/view/1959
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