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Selected Publication:
SHR Neuro Cancer Cardio Lipid Metab Microb
Cerwenka, H.
Bile duct cyst in adults: interventional treatment, resection, or transplantation?
World J Gastroenterol. 2013; 19(32):5207-5211
Doi: 10.3748/wjg.v19.i32.5207
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- Leading authors Med Uni Graz
- Cerwenka Herwig
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- Abstract:
- Cystic dilatations of the bile ducts may be found along the extrahepatic biliary tree, within the liver, or in both of these locations simultaneously. Presentation in adults is often associated with complications. The therapeutic possibilities have changed considerably over the last few decades. If possible, complete resection of the cyst(s) can cure the symptoms and avoid the risk of malignancy. According to the type of bile duct cyst, surgical procedures include the Roux-en-Y hepaticojejunostomy and variable types of hepatic resection. However, the diffuse forms of Todani type V cysts (Caroli disease and Caroli syndrome) in particular remain a therapeutic problem, and liver transplantation has become an important option. The mainstay of interventional treatment for Todani type III bile duct cysts is via endoscopic retrograde cholangiopancreatography. The diagnostic term "bile duct cyst" comprises quite different pathological and clinical entities. Interventional therapy, hepatic resection, and liver transplantation all have their place in the treatment of this heterogeneous disease group. They should not be seen as competitive treatment modalities, but as complementary options. Each patient should receive individualized treatment after all of the clinical findings have been considered by an interdisciplinary team.
- Find related publications in this database (using NLM MeSH Indexing)
- Adult -
- Cholangiopancreatography, Endoscopic Retrograde -
- Choledochal Cyst - diagnosis
- Hepatectomy -
- Humans -
- Liver Transplantation -
- Patient Selection -
- Treatment Outcome -
- Find related publications in this database (Keywords)
- Bile duct cyst
- Caroli syndrome
- Caroli disease
- Hepatic resection
- Liver transplantation
- Interventional treatment