Archives of surgery (Chicago, Ill. : 1960) · 2003
Management dilemmas with choledochal cysts.
СтатьяОбзорНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Metcalfe Matthew S, Wemyss-Holden Simon A, Maddern Guy J
Аннотация
CONTEXT: Choledochal cysts are rare and of unknown cause. Their presentation is protean, with the classical triad of pain, jaundice, and mass rarely seen. The potential complications are serious, including pancreatitis, cholangitis, and cholangiocarcinoma.
OBJECTIVE: To present the current experience and evidence relating to all aspects of choledochal cysts to derive appropriate management recommendations.
METHODS: Review of relevant literature in the English language indexed on MEDLINE.
RESULTS: The elaboration of the classification of choledochal cysts. We describe the modes of presentation and optimal investigation and summarize the current theories on etiology and malignant transformation. The results of different management strategies are presented.
CONCLUSIONS: Choledochal cysts are often detected during the investigation of nonspecific symptoms, or even incidentally detected. Magnetic resonance imaging is the best imaging modality for the diagnosis and characterization of these cysts. Complete excision and hepaticojejenostomy is the management of choice.
OBJECTIVE: To present the current experience and evidence relating to all aspects of choledochal cysts to derive appropriate management recommendations.
METHODS: Review of relevant literature in the English language indexed on MEDLINE.
RESULTS: The elaboration of the classification of choledochal cysts. We describe the modes of presentation and optimal investigation and summarize the current theories on etiology and malignant transformation. The results of different management strategies are presented.
CONCLUSIONS: Choledochal cysts are often detected during the investigation of nonspecific symptoms, or even incidentally detected. Magnetic resonance imaging is the best imaging modality for the diagnosis and characterization of these cysts. Complete excision and hepaticojejenostomy is the management of choice.