دورية أكاديمية
أعرض في EDS

AUDIT OF MANAGEMENT OF ADULT CHOLEDOCHAL CYSTS

التفاصيل البيبلوغرافية
العنوان: AUDIT OF MANAGEMENT OF ADULT CHOLEDOCHAL CYSTS
المؤلفون: Ammad Ud Din Nasir, Muhammad Shoaib Khan, Anas Bin Saif, Qasim Butt, Hanif Abbasi
المصدر: Pakistan Armed Forces Medical Journal, Vol 71, Iss 6, Pp 1997-2000 (2021)
بيانات النشر: Army Medical College Rawalpindi, 2021.
سنة النشر: 2021
المجموعة: LCC:Medicine
LCC:Medicine (General)
مصطلحات موضوعية: choledochal cyst, hepatobiliary disease, Medicine, Medicine (General), R5-920
الوصف: Objective: To analyze the complexity and diversity of type, surgical management and complications in adult choledochal cysts presenting to a Hepatobiliary unit of a tertiary care hospital. Study Design: Case series. Place and Duration of Study: Pak Emirates Military Hospital Rawalpindi, from Jan 2017 to Dec 2019. Methodology: All the patients diagnosed with choledochal cyst and underwent surgical procedure between Jan 2017 to June 2019 were analyzed. The clinical features, types, operative procedure and outcomes of the patients in terms of post-operative morbidity and mortality were assessed. Calvin Dindo classification was used to assess complications. Results: A total of 17 patients were studied, out of which, 13 were females (76.5%) and 4 were males (23.5%) with mean age of 37.41 ± 16.96 years. There were 13 type I (76.5%), 2 type IVa (11.8%) and 1 type II (5.9%) choledochal cysts according to Todani’s classification. Extrahepatic cyst excision with a Roux-en-Y hepatico-jejunostomy was performed on all 17 patients. There was no mortality in the series. Post-operative complications occurred in 4 (23.5%) patients, 2 were grade II, 1 was grade I and 1 grade III according to Clavin Dindo scale. Long-term follow up revealed recurrent cholangitis in 3 (17.6%) patients which settled on antibiotic regime. The median follow up time was 1.5 years. Conclusion: The total extra-hepatic excision with Roux-en-Y hepaticojejunostomy is the treatment of choice for adult choledochal cyst. The procedure has low morbidity and very low mortality.
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 0030-9648
2411-8842
Relation: https://www.pafmj.org/index.php/PAFMJ/article/view/4476/3717; https://doaj.org/toc/0030-9648; https://doaj.org/toc/2411-8842
URL الوصول: https://doaj.org/article/422b250c43274eaf8c1da5e180e323c7
رقم الأكسشن: edsdoj.422b250c43274eaf8c1da5e180e323c7
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:00309648
24118842