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논문 기본 정보

자료유형
학술저널
저자정보
Chaeyoun Oh (Korea University College of Medicine) Jong-Ho Cheun (Seoul National University College of Medicine) Hyun-Young Kim (Seoul National University College of Medicine)
저널정보
대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.101 No.5
발행연도
2021.11
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306 - 313 (8page)

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Purpose: The incidence of choledochal cyst (CC) with protein plugs is between 15.5%–40.4%. However, studies on CCs with protein plugs in children are limited. We aimed to analyze the clinical features, surgical findings, and complications of pediatric CCs with and without protein plugs.
Methods: We retrospectively analyzed 390 patients who underwent surgery for CCs between January 1987 and September 2017. The patients were divided into 2 groups: groups A (CC with protein plugs) and B (CC without protein plugs). The presence of protein plugs was evaluated using preoperative images or identified during surgery.
Results: One hundred forty-two (36.4%) patients had protein plugs in the pancreaticobiliary duct. The most common initial clinical presentation was abdominal pain, and its incidence was significantly higher in group A (66.2%) than in group B (54.8%) (P = 0.032). The incidence of accompanying pancreatitis was also significantly higher in group A (37.3% vs. 27.0%) (P = 0.040). Anomalous pancreaticobiliary ductal union (APBDU) was found in 261 patients (66.9%) and its incidence was significantly higher in group A (74.6% vs. 62.5%) (P = 0.014). Most protein plugs were found in the cyst (88.0%) and common channel (31.7%). The incidence of early complications was higher in group A; conversely, that of late complications did not differ.
Conclusion: Approximately 36.4% of the pediatric CC patients were accompanied by protein plugs. Abdominal pain, pancreatitis, and APBDU were more commonly observed among those with protein plugs than among those without; long-term complications did not differ between them.
#Child #Choledochal cyst #Pediatrics #Protein plug

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INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES

참고문헌 (35)

참고문헌 신청
Hyo Seon Ryu / 2019 / Minimally-invasive neonatal surgery: laparoscopic excision of choledochal cysts in neonates / Annals of Surgical Treatment and Research 97(1):21 dbpia Singham J / 2009 / Choledochal cysts: part 2 of 3: diagnosis / Can J Surg 52:506~511 google schola Hung MH / 2011 / Choledochal cysts in infants and children: experiences over a 20-year period at a single institution / Eur J Pediatr 170:1179~1185 google schola Lipsett PA / 2003 / Surgical treatment of choledochal cysts / J Hepatobiliary Pancreat Surg 10:352~359 google schola Lai HS / 1997 / Manifestations and surgical treatment of choledochal cyst in different age group patients / J Formos Med Assoc 96:242~246 google schola

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