Choledochal Cyst / Biliary
Also covered as: choledochal cyst · pancreatitis · cholangitis · type 1 choledochal cyst · abdominal pain · type IV choledochal cyst · right upper quadrant pain · intrahepatic ductal dilation
Educational content from recorded physician discussions — not medical advice. Always talk to your child's care team about your child's situation.
Answers come only from this collection's statement ledger and cite the exact moment · not medical advice
Content of this collection
Foundations
2 items
Choledochal Cyst Podcast
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In this podcast, Dr. Alex Bondoc and Dr. Rae Hanke discuss the intricacies of choledochal cysts. Contributing editor: Dr. Rod Gerardo.Choledochal Cyst- Definition: Congenital cystic dilation of the biliary tree- Epidemiology: We
podcast · 22:07 · Dec 2020
Choledochal Cysts: In Brief with Dr. Alexander Bondoc
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Are you having difficulty keeping the 5 types of choledochal cyst straight? Each has unique anatomy and management principles. Join Dr. Alexander Bondoc in an overview of Choledochal Cysts for the surgical trainee.
podcast · 16:55 · May 2022
Evidence & Research
3 items
Outcomes of laparoscopic versus open resection of pediatric choledochal cyst
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"Outcomes of laparoscopic versus open resection of pediatric choledochal cyst"
Ramsey et al, Journal of Pediatric Surgery
https://www.jpedsurg.org/article/S0022-3468(22)00799-0/fulltext
Video: Ellen Encisco
video · 0:54 · May 2023
Journal of pediatric surgery Article Review: April 2023, IPEG issue
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We’re featuring Journal of Pediatric surgery articles to bring you some of the latest news!
This week we are discussing three articles from the April 2023 issue, the IPEG issue with editor Dr. Mark Wulkan and authors Drs. Luzia Toselli,
podcast · 13:22 · Jul 2023
Quick Literature Updates Episode 15
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We’re back with fifteenth episode of "Quick Literature Updates" the podcast series that delivers the latest updates in pediatric surgery literature in a quick and digestible format. In each episode, we review articles covering the most inte
video · 4:12 · Jan 2024
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Common questions
How is a choledochal cyst diagnosed?
Choledochal cysts are diagnosed through imaging modalities. In infants and younger children, they are often discovered incidentally on axial imaging or ultrasound performed for other reasons. Giant choledochal cysts can be identified prenatally on 20-week fetal ultrasounds. ERCP can serve as both a diagnostic and therapeutic tool depending on findings from prior imaging and cyst type.
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Every statement below comes from the recorded discussions, with its speaker and moment.
Outcomes of laparoscopic versus open resection of pediatric choledochal cyst
The study used the nationwide readmissions database and identified 577 children who underwent choledochal cyst resection between 2016 and 2018.
epidemiologicalEllen Encisco0:13 ↗
The majority of patients underwent open resection.
epidemiologicalEllen Encisco0:24 ↗
Patients who underwent open resection were more likely to have a Roux-en-Y hepaticojejunostomy.
clinicalEllen Encisco0:24 ↗
Patients who underwent laparoscopic resection were more likely to have a hepaticoduodenostomy.
clinicalEllen Encisco0:24 ↗
Patients who underwent open resection were more likely to have a longer length of hospital stay.
clinicalEllen Encisco0:39 ↗
Patients who underwent open resection were more likely to have more complications.
clinicalEllen Encisco0:39 ↗
Patients who underwent open resection had higher total costs.
clinicalEllen Encisco0:39 ↗
Quick Literature Updates Episode 15
The Hirschsprung-associated IBD study was retrospective, gathering patients from 2000 to 2021 at 17 institutions
epidemiologicalCecilia Gigena0:59 ↗
The study identified 55 Hirschsprung patients, with 50% having long segment disease
epidemiologicalCecilia Gigena1:14 ↗
68% of the Hirschsprung patients had Hirschsprung-associated enterocolitis
epidemiologicalCecilia Gigena1:19 ↗
10% of the Hirschsprung patients had trisomy 21
epidemiologicalCecilia Gigena1:19 ↗
Long segment disease, Hirschsprung-associated enterocolitis, and trisomy 21 are potential risk factors for IBD-like symptoms in Hirschsprung patients after pull through
clinicalCecilia Gigena1:19 ↗
The choledochal cyst study used the nationwide readmissions database and identified 577 children who underwent choledochal cyst resection between 2016 and 2018
epidemiologicalEllen Encisco2:11 ↗
The majority of choledochal cyst patients underwent open resection
epidemiologicalEllen Encisco2:21 ↗
Patients who underwent open choledochal cyst resection were more likely to have a Roux-en-Y hepaticojejunostomy
clinicalEllen Encisco2:21 ↗
Patients who underwent laparoscopic choledochal cyst resection were more likely to have a hepaticoduodenostomy
clinicalEllen Encisco2:21 ↗
Patients who underwent open choledochal cyst resection had longer length of hospital stay compared to laparoscopic resection
clinicalEllen Encisco2:36 ↗
Patients who underwent open choledochal cyst resection had more complications compared to laparoscopic resection
clinicalEllen Encisco2:36 ↗
Patients who underwent open choledochal cyst resection had higher total costs compared to laparoscopic resection
clinicalEllen Encisco2:36 ↗
The solid organ injury study was retrospective and conducted in South Carolina
epidemiologicalCecilia Gigena3:09 ↗
The study gathered 262 patients with isolated solid organ injuries, grades 1 to 3
epidemiologicalCecilia Gigena3:19 ↗
148 patients had solid organ injuries grades 1 or 2, and none required acute intervention
clinicalCecilia Gigena3:26 ↗
Of 114 patients with grade 3 solid organ injuries, only 3 required acute intervention
clinicalCecilia Gigena3:34 ↗
Isolated solid organ injuries after blunt abdominal trauma, grades 1 or 2, can be discharged from the emergency department
clinicalCecilia Gigena3:44 ↗
Choledochal Cysts: In Brief with Dr. Alexander Bondoc
Choledochal cysts are a congenital dilation of the biliary tree
clinical0:00 ↗
Choledochal cysts have a female predominance
epidemiological1:14 ↗
In the Western world the incidence is about one in 100,000
epidemiological1:22 ↗
In Asia specifically Eastern Asia the incidence is one in 13,000
epidemiological1:35 ↗
The Todani classification categorizes choledochal cysts as types one through five
clinical1:48 ↗
Types one and four are likely embryologic relating to the pancreaticobiliary duct junction also known as pancreaticobiliary malunion
clinical2:05 ↗