Publication: Management of Choledochal Cyst: Experience from A Tertiary Care Center of Nepal
| creativeworkseries.issn | ISSN (Print) : 1993-2979 | ISSN (Online) : 1993-2987 | |
| dc.contributor.author | Shrestha, Sujan | |
| dc.contributor.author | Ghimire,Bikal | |
| dc.contributor.author | Kansakar, Prasan | |
| dc.contributor.author | Bhandari, Ramesh S | |
| dc.contributor.author | Lakhey, Paleshwan Joshi | |
| dc.date.accessioned | 2026-03-22T07:35:23Z | |
| dc.date.available | 2026-03-22T07:35:23Z | |
| dc.date.issued | 2021 | |
| dc.description | Sujan Shrestha, Bikal Ghimire, Prasan Kansakar, Ramesh S Bhandari, Paleshwan Joshi Lakhey Department of GI and General Surgery, Maharajgunj Medical Campus, Tribhuvan University Teaching Hospital, Institute of Medicine, Kathmandu | |
| dc.description.abstract | ABSTRACT Introduction: Choledochal cysts are infrequent congenital cystic dilation of the biliary tract. The aim of this study is to analyze the clinicopathological profile and short-term operative outcomes of patients with choledochal cysts. Methods: This is a retrospective study of 32 consecutive patients of choledochal cyst who underwent multidisciplinary management in last two and half years at Tribhuvan University Teaching Hospital, Kathmandu, Nepal. Results: A total of 32 patients, 9 males and 23 females were operated. The average age at diagnosis was 24.67±16.4 years (range from 2 to 56 years). The most common presenting symptoms were pain 31(96.88%), jaundice 10(31.25%) and mass 5(15.63%). Triad of pain, jaundice and mass was present in 4(12.5%). Transabdominal Ultrasonography (100%) was the initial diagnostic modality followed by Magnetic resonance cholangiopancreatography (MRCP) (68.75%), and contrast enhanced computed tomography (CECT) (31.25%). Endoscopic retrograde cholangiopancreatography (ERCP) was done for stent placement in 3 (9.38%) patients with severe cholangitis. Type IVA (37.5%) was the most common type of CC followed by type IC (31.23%), type IB (15.65%), type IA (12.5%) and type IVB (3.12%). Abnormal pancreaticobiliary duct junction was observed in 3 (9.38%) patients. All patients underwent open cyst excision with Roux-en-Y hepaticojejunostomy (HJ). The overall morbidity was seen in 6 patients (18.75%). There was no mortality. None of our patient had cholangiocarcinoma on pathological examination. Conclusion: Choledochal cyst was common in young females. Type IC and IVA choledochal cyst were the most common types and majority of them were symptomatic. Cyst excision with Roux-en-Y hepaticojejunostomy was the commonest surgical treatment modality and had excellent perioperative outcome Keywords: Choledochal cyst, cyst excision, Roux-en-Y hepaticojejunostomy | |
| dc.identifier.uri | https://hdl.handle.net/20.500.14572/5304 | |
| dc.language.iso | en_US | |
| dc.publisher | Institute of Medicine | |
| dc.subject | Choledochal cyst | |
| dc.subject | cyst excision | |
| dc.subject | Roux-en-Y hepaticojejunostomy | |
| dc.title | Management of Choledochal Cyst: Experience from A Tertiary Care Center of Nepal | |
| dc.type | Article | |
| dspace.entity.type | Publication | |
| local.article.type | Original Article | |
| oaire.citation.endPage | 17 | |
| oaire.citation.startPage | 13 | |
| relation.isJournalIssueOfPublication | 73251213-2c3f-4428-971b-c6d239d0a83a | |
| relation.isJournalIssueOfPublication.latestForDiscovery | 73251213-2c3f-4428-971b-c6d239d0a83a | |
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