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- Title
Late postoperative complications of congenital biliary dilatation in pediatric patients: a single-center experience of managing complications for over 20 years.
- Authors
Amano, Hizuru; Shirota, Chiyoe; Tainaka, Takahisa; Sumida, Wataru; Yokota, Kazuki; Makita, Satoshi; Takimoto, Aitaro; Tanaka, Yujiro; Hinoki, Akinari; Kawashima, Hiroki; Uchida, Hiroo
- Abstract
Purpose: To investigate late complications after surgery for congenital biliary dilatation (CBD). Methods: We retrospectively reviewed the patients treated for late postoperative complications of extrahepatic bile duct resection with bilioenteric anastomosis for CBD at our hospital between 1999 and 2019. Results: Twenty-seven complications, including bile duct stenosis with (n = 19) or without (n = 3) hepatolithiasis, remnant intrapancreatic bile duct (n = 2), intestinal obstruction (n = 2), and refractory cholangitis (n = 1) were treated in 26 patients. The median age at radical surgery and the initial treatment of complications was 3 years, 2 months and 14 years, 5 months, respectively. The median period from radical surgery to initial treatment of complications was 7 years, 1 month. Before 2013, bile duct stenosis was initially treated with bile duct plasty (n = 11) or hepatectomy (n = 3), and 71.4% (n = 10) of patients needed further treatment; after 2013, double-balloon endoscopic retrograde cholangiography (DBERC) was used (n = 8), and 25% (n = 2) of patients needed further treatment. Patients with remnant intrapancreatic bile duct, intestinal obstruction, and refractory cholangitis required surgery. Conclusion: Long-term follow-up is necessary after surgery for congenital biliary dilatation. DBERC is thus considered to be useful for bile duct stenosis management.
- Subjects
CHILD patients; SURGICAL complications; PATIENTS' attitudes; BILE ducts; BOWEL obstructions; CHOLANGIOGRAPHY
- Publication
Surgery Today, 2021, Vol 51, Issue 9, p1488
- ISSN
0941-1291
- Publication type
Article
- DOI
10.1007/s00595-021-02238-0