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소아담관낭종의 임상적 고찰

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Author(s)
서수진최순옥박우현
Keimyung Author(s)
Choi, Soon OkPark, Woo Hyun
Department
Dept. of Surgery (외과학)
Journal Title
대한외과학회지
Issued Date
2003
Volume
65
Issue
6
Abstract
Purpose: The aim of this study was to evaluate the clinical findings of choledochal cyst including the symptoms and signs, the cyst types, anomalous pancreaticobiliary duct union (APBDU), and complications according to the age group in children.
Methods: Fifty-five choledochal cyst cases treated with cyst excision and Roux-en-Y hepaticojejunostomy at the Division of Pediatric Surgery, Keimyung University Dongsan Medical Center from 1986 to 2002, were analyzed retrospectively after subdividing the cases into 5 age groups: newborn (NB), infancy, early childhood, late childhood, and adolescent.
Results: The age ranged from 9 days to 13.5 years (mean age: 4.4 years). The most common age group was early childhood (38.2%). Females were predominate in all age groups (overall male:female ratio 1:3). Abdominal pain (62%) and jaundice (42%) were the two most common symptoms but abdominal pain was more common in patients above 2 years of age and the jaundice was more common in NB and infancy. The types of cyst were Todani type I (42%) and IVa (58%). There was no Type II, III, IVb and V cases. Type I is more common in NB and infancy but type IV is more common after 2 years. The APBDU was identified in 27 patients (49%). A high level of amylase in the bile and blood was observed in 25 and 15 patients respectively but there was no correlation to the type of APBDU and dilation of the common channel. There was no surgical mortality and there was no cholangitis or cancer formation in the follow-up.
Conclusion: The clinical findings of choledochal cyst differ according to the age group. Anyone with jaundice in NB and infancy or anyone with nonspecific abdominal pain and pancreatitis after 2 years should be sreened for choledochal cyst. As the frequency of dilatation of the intrahepatic ducts and common channel increases with age, older children in particular should be followed cautiously.
Alternative Title
Clinical Analysis of Choledochal Cyst in Childhood
Keimyung Author(s)(Kor)
최순옥
박우현
Publisher
School of Medicine
Citation
서수진 et al. (2003). 소아담관낭종의 임상적 고찰. 대한외과학회지, 65(6), 564–571.
Type
Article
ISSN
1226-0053
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/38205
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Surgery (외과학)
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