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Biliary cysts:Etiology,diagnosis and management

World Journal of Gastroenterology 2012年第35期18卷 4801-4810页

作者： Beata Jabońska Department of Digestive Tract Surgery University Hospital of the Medical University of Silesia

Biliary cysts(BC) are rare dilatations of different parts of a biliary *** account for approximately 1% of all benign biliary *** occur the most frequently in Asian and female *** are an important problem for pediatricians,gastroenterologists,radiologists and *** presentation and management depend on the BC *** is the most serious and dangerous BC *** other complications associated with BC involve cholelithiasis and hepatolithiasis,cholangitis,acute and chronic pancreatitis,portal hypertension,liver fibrosis and secondary liver cirrhosis and spontaneous cyst *** BC classifications have been described in the *** classification dividing BC into five types is the most useful in clinical *** early diagnosis and proper treatment are very important,because BC are associated with a risk of carcinogenesis.A malignancy risk increases with the *** investigations(ultrasonography,computed tomography,endoscopic retrograde cholangiopancreatography and magnetic resonance cholangiopancreatography) play an important role in BC ***,prenatal diagnosis using ultrasonography is *** allows to differentiate biliary disorders in fetals and to perform the early surgical treatment that improves *** most patients,total cyst excision with Roux-Y hepaticojejunostomy is the treatment of *** treat-ment of BC is associated with high success rate and low morbidity and *** early treatment is associated with a lower number of *** following BC surgery require permanent and careful postoperative observation using laboratory and imaging investigations because of possibility of biliary anastomosis stricture and biliary cancer in tissue remnant.

关键词： Biliary cysts Biliary drainage hepaticojeju-nostomy

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