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Forty-Year Experience With Flow-Diversion Surgery for Patients With Congenital Choledochal Cysts With Pancreaticobiliary Maljunction at a Single Institution

Forty-Year Experience With Flow-Diversion Surgery for Patients With Congenital Choledochal Cysts... ORIGINAL ARTICLE Forty-Year Experience With Flow-Diversion Surgery for Patients With Congenital Choledochal Cysts With Pancreaticobiliary Maljunction at a Single Institution Nobuhiro Takeshita, MD, Takehiro Ota, MD, and Masakazu Yamamoto, MD duct, which can be cystic, focal, or fusiform. Type IV is the second Background: Congenital choledochal cyst with pancreaticobiliary maljunc- most common and involves dilatation of both the intrahepatic and tion (PBM) is known as a high-risk factor for various complications such extrahepatic biliary trees. Pancreaticobiliary maljunction (PBM) was as cholangitis, pancreatitis, and carcinogenesis of the biliary system by mu- first reported by Kozumi and Kodama in 1916. In 1969 and 1976, tual refluxes of bile and pancreatic juice. Furthermore, it is not rare to suffer 8 9 Babbitt and Komi et al reported an anomalous arrangement of the from postoperative complications if the wrong operative procedure is chosen. pancreaticobiliary ductal system, along with concepts of the etiology Therefore, we sought to review the relationship between operative procedure and pathophysiology of choledochal cysts, respectively. According for types I and IV-A (Todani’s classification) congenital choledochal cyst with to the diagnostic criteria of PBM by the Japanese Study Group on PBM, and long-term treatment outcome. PBM, PBM was defined as a http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Annals of Surgery Wolters Kluwer Health

Forty-Year Experience With Flow-Diversion Surgery for Patients With Congenital Choledochal Cysts With Pancreaticobiliary Maljunction at a Single Institution

Yamamoto, Masakazu
Annals of Surgery , Volume 254 (6) – Dec 1, 2011
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References (38)

Copyright
© 2011 by Lippincott Williams & Wilkins
ISSN
0003-4932
eISSN
1528-1140
DOI
10.1097/SLA.0b013e3182243550
pmid
21659852
Publisher site
See Article on Publisher Site

Abstract

ORIGINAL ARTICLE Forty-Year Experience With Flow-Diversion Surgery for Patients With Congenital Choledochal Cysts With Pancreaticobiliary Maljunction at a Single Institution Nobuhiro Takeshita, MD, Takehiro Ota, MD, and Masakazu Yamamoto, MD duct, which can be cystic, focal, or fusiform. Type IV is the second Background: Congenital choledochal cyst with pancreaticobiliary maljunc- most common and involves dilatation of both the intrahepatic and tion (PBM) is known as a high-risk factor for various complications such extrahepatic biliary trees. Pancreaticobiliary maljunction (PBM) was as cholangitis, pancreatitis, and carcinogenesis of the biliary system by mu- first reported by Kozumi and Kodama in 1916. In 1969 and 1976, tual refluxes of bile and pancreatic juice. Furthermore, it is not rare to suffer 8 9 Babbitt and Komi et al reported an anomalous arrangement of the from postoperative complications if the wrong operative procedure is chosen. pancreaticobiliary ductal system, along with concepts of the etiology Therefore, we sought to review the relationship between operative procedure and pathophysiology of choledochal cysts, respectively. According for types I and IV-A (Todani’s classification) congenital choledochal cyst with to the diagnostic criteria of PBM by the Japanese Study Group on PBM, and long-term treatment outcome. PBM, PBM was defined as a

Journal

Annals of Surgery – Wolters Kluwer Health

Published: Dec 1, 2011

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